Individual
BRIDGER CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2589 BOYCE PLAZA RD, PITTSBURGH, PA 15241-4907
(412) 232-8104
(412) 281-1898
Mailing address
2589 BOYCE PLAZA RD, PITTSBURGH, PA 15241-4907
(412) 232-8104
(412) 281-1898
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2012-00763
NC
207RG0100X
Gastroenterology Physician
Primary
MD445616
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102825963
—
PA
01
—
279830
MEDICARE
PA
Enumeration date
04/17/2007
Last updated
01/26/2023
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