Organization
BRIDGEWAY CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA HALE (DIRECTOR OF FINANCE)
(816) 786-4253
Entity
Organization
Contact information
Practice address
4429 S RIVER BLVD, INDEPENDENCE, MO 64055-4659
(816) 786-4253
Mailing address
4429 S RIVER BLVD, INDEPENDENCE, MO 64055-4659
(816) 786-4253
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
11/30/2022
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