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Individual

DR. MATTHEW ANTHONY BRIDGER

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
223 E TOWN ST, COLUMBUS, OH 43215-4683
(614) 566-9191
Mailing address
1512 TEEWAY DR, COLUMBUS, OH 43220-3953

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
356719
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0698133
OH
Enumeration date
12/14/2005
Last updated
07/08/2007
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