Provider Demographics
NPI:1598091944
Name:CONLEY, BRIDGET CHRISTINE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:CHRISTINE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRIDGET
Other - Middle Name:CHRISTINE
Other - Last Name:BOZLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1713 S KOFA AVE
Mailing Address - Street 2:STE A
Mailing Address - City:PARKER
Mailing Address - State:AZ
Mailing Address - Zip Code:85344-6477
Mailing Address - Country:US
Mailing Address - Phone:928-669-9700
Mailing Address - Fax:
Practice Address - Street 1:1713 S KOFA AVE
Practice Address - Street 2:STE A
Practice Address - City:PARKER
Practice Address - State:AZ
Practice Address - Zip Code:85344-6477
Practice Address - Country:US
Practice Address - Phone:928-669-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant