Individual
ALEXIS GABRIELLE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
333 N 1ST ST STE 150, BOISE, ID 83702-6135
(208) 381-3088
(208) 381-4314
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10964152-1204
UT
207V00000X
Obstetrics & Gynecology Physician
DO204323
OR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
O-2023
ID
Other
Enumeration date
04/03/2017
Last updated
08/07/2024
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