Individual
JULIA A BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
18409
NE
207ZP0101X
Anatomic Pathology Physician
Primary
13980734-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
18409
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557547
—
NE
Enumeration date
04/28/2006
Last updated
06/27/2024
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