Organization
AURORA DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L BRIDGES (OWNER)
(907) 352-9233
Entity
Organization
Contact information
Practice address
3419 AIRPORT WAY STE D, FAIRBANKS, AK 99709-4761
(907) 474-2002
Mailing address
PO BOX 751, GIRDWOOD, AK 99587-0751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4098
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366501876
NPI
AK
Enumeration date
07/13/2007
Last updated
09/06/2007
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