Provider Demographics
NPI:1407974611
Name:BRIDGER, WILLIAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:BRIDGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 MARGARET LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-4207
Mailing Address - Country:US
Mailing Address - Phone:530-272-2244
Mailing Address - Fax:530-272-4120
Practice Address - Street 1:101 MARGARET LN
Practice Address - Street 2:SUITE C
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-4207
Practice Address - Country:US
Practice Address - Phone:530-272-2244
Practice Address - Fax:530-272-4120
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA24361207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology