ALLYSON BRIDEWELL

SOUTHGATE, KY
NPI1912618869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2023-0250)
Enumeration Date2022-12-12
Last Update Date2023-09-19
Business Address
ALLYSON BRIDEWELL PA-C
222 VAIL CT
SOUTHGATE, KY 41071-2854
Phone number: 505-923-5362
Mailing Address
ALLYSON BRIDEWELL PA-C
6400 PASEO DEL NORTE
ALBUQUERQUE, NM 87113-1718
Phone number: 505-596-2100