Provider Demographics
NPI:1639349707
Name:SESTERO, BRIDGET C (MD)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:C
Last Name:SESTERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 S HOGAN CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-8105
Mailing Address - Country:US
Mailing Address - Phone:509-448-2446
Mailing Address - Fax:
Practice Address - Street 1:5215 S HOGAN CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-8105
Practice Address - Country:US
Practice Address - Phone:509-448-2446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000492872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology