Individual
PRESLEY K BRIDGEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06771
NC
363A00000X
Physician Assistant
Primary
10195
AZ
363A00000X
Physician Assistant
61278
CA
363A00000X
Physician Assistant
PA.0005114
CO
Other
Enumeration date
09/26/2016
Last updated
06/29/2026
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