Individual
AUTUMN REJOICE BRIDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
505 POPLAR ST, 209, MEADVILLE, PA 16335-3057
(814) 373-2156
(814) 373-2159
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-2156
(814) 373-2159
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS016885
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102944294
—
PA
Enumeration date
06/17/2009
Last updated
10/14/2016
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