Individual
MICHAEL BERLY BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
610 FREDERICK ST, SANTA CRUZ, CA 95062-2203
(831) 576-3000
Mailing address
3580 MISTY LN, APTOS, CA 95003-2727
(831) 464-8170
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14687
CA
Other
Enumeration date
10/11/2006
Last updated
11/23/2011
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