Individual
DR. GARETH S BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S DERBY ST, SUITE 200, SUBLETTE, KS 67877-6704
(620) 675-2686
(620) 675-2236
Mailing address
301 S DERBY ST, SUITE 200, SUBLETTE, KS 67877-6704
(620) 675-2686
(620) 675-2236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-39010
KS
Other
Enumeration date
05/02/2013
Last updated
01/04/2017
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