Individual
DR. ROBERT STUART BRIDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34503 9TH AVE S, STE 130, FEDERAL WAY, WA 98003-8727
(253) 835-5340
(253) 835-5350
Mailing address
6360 S 3000 E, STE 220, SALT LAKE CITY, UT 84121-6924
(801) 944-3199
(801) 944-3180
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD60630909
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2009
Last updated
06/04/2018
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