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Individual

DR. ROBERT S BRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19636 N 27TH AVE STE 206, PHOENIX, AZ 85027
(602) 788-0088
(602) 931-4544
Mailing address
19636 N 27TH AVE STE 206, PHOENIX, AZ 85027-4015
(602) 788-0088
(602) 931-4544

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18610
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376985549
ARIZONA MINIMALLY INVASIVE SINUS INSTITUTE PLLC
AZ
01
27-327815
ARIZONA MINIMALLY INVASIVE SINUS INSTITUTE PLLC
AZ
Enumeration date
06/22/2005
Last updated
12/06/2018
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