Individual
KRISTEN LEIGH BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 381-6930
(208) 381-6931
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10194200
NJ
208600000X
Surgery Physician
Primary
471741
ID
Other
Enumeration date
06/16/2011
Last updated
02/10/2025
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