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Individual

SCOTT M. BAINBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1515 DELHI ST SUITE 300, DUBUQUE, IA 52001-6320
(563) 557-8500
(563) 589-4078
Mailing address
1515 DELHI ST SUITE 300, DUBUQUE, IA 52001-6320
(563) 557-8500
(563) 589-4050

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
087971
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
087971
STATE RN LICENSE
05
1443432
IA
Enumeration date
06/30/2006
Last updated
04/12/2013
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