SearchIdaho207P00000X

Daniel Bridger, D.O

NPI 1710121926 · on the registry since 2009 · sole proprietor

Practice

Address
10583 W Lake Hazel Rd
Boise, ID 83709
Phone
(208) 302-5950
Clinicians at this address
25

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
207P00000X
390200000X
Licence states on file
OR, MI, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho