Organization
HEALTH BRIDGE
Active
Other names
Health Bridge Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT W. THORN SR. (CFO)
(301) 538-3700
Entity
Organization
Contact information
Practice address
6118 E MAIN ST, SUITE B-103, MESA, AZ 85205-8964
(301) 960-4830
(301) 218-0338
Mailing address
6118 E. MAIN ST., SUITE B-103, MESA, AZ 85205
(301) 960-4830
(301) 218-0338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
MD
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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