Organization
ONE BRIDGE SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TSENG M.D. (OWNER / MEMBER MANAGER)
(276) 322-2324
Entity
Organization
Contact information
Practice address
1972 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5729
(928) 854-6500
(928) 854-6206
Mailing address
1972 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5729
(928) 854-6500
(928) 854-6206
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23008764
CORPORATION ID NUMBER
AZ
Enumeration date
08/22/2019
Last updated
08/22/2019
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