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Individual

DR. MATTHEW ALLEN BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14051 ST FRANCIS BLVD, SUITE 2211, MIDLOTHIAN, VA 23114-3201
(804) 378-7443
Mailing address
14051 ST FRANCIS BLVD, SUITE 2211, MIDLOTHIAN, VA 23114-3201
(804) 378-7443

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101233287
VA
207Y00000X
Otolaryngology Physician
M8555
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194208801
TX
01
8BD691
BCBSTX
TX
Enumeration date
02/15/2006
Last updated
03/18/2011
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