DANIEL ALLAN BRIDGER

BOISE, ID
NPI1710121926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  O-1144)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: OR  DO187470)
207P00000X Emergency Medicine
(Licence: MI  5101018222)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-05-01
Last Update Date2020-01-06
Business Address
DANIEL ALLAN BRIDGER D.O.
10583 W LAKE HAZEL RD
BOISE, ID 83709
Phone number: 208-302-5950
Mailing Address
DANIEL ALLAN BRIDGER D.O.
3340 E GOLDSTONE DR.
MERIDIAN, ID 83642
Phone number: 208-302-5950