Organization
BRIDGEWAY DIAGNOSTIC RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HOOVER M.D. (M.D./OWNER)
(334) 408-2854
Entity
Organization
Contact information
Practice address
5007 SUMMERVILLE ROAD, PHENIX CITY, AL 36867-1559
(334) 408-2854
(334) 384-9274
Mailing address
PO BOX 242848, MONTGOMERY, AL 36124-2848
(334) 386-9357
(334) 532-0137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
AL
Other
Enumeration date
09/17/2014
Last updated
07/28/2023
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