Provider Demographics
NPI:1093153983
Name:WOOLDRIDGE, BRYAN EDMUND JR (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:EDMUND
Last Name:WOOLDRIDGE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2528 WHEATON WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3305
Mailing Address - Country:US
Mailing Address - Phone:360-362-0170
Mailing Address - Fax:360-995-0304
Practice Address - Street 1:2528 WHEATON WAY STE 203
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3305
Practice Address - Country:US
Practice Address - Phone:360-362-0170
Practice Address - Fax:360-995-0304
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2023-09-09
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Provider Licenses
StateLicense IDTaxonomies
WAMD60611666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine