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Contact Information

DANIEL A BRIDGER, DO
10583 W LAKE HAZEL RD
BOISE, ID83709
 Phone: 208-302-5950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DANIEL A BRIDGER · (Male)

NPI Number 1710121926
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/01/2009
Last updated 01/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # O-1144
  • MI License # 5101018222
  • OR License # DO187470
Hospital affiliation(s)
  • ST ALPHONSUS REGIONAL MEDICAL CENTER - (Acute Care)
    1055 NORTH CURTIS ROAD
    BOISE, ID 83706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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