Individual
CRYSTAL BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8134
Mailing address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-117007
MT
363A00000X
Physician Assistant
—
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
06/04/2021
Last updated
02/19/2024
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