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Contact Information

MITRA H BRIDWELL, R, MR
1201 13TH AVE SE
DECATUR, AL35601-4300
 Phone: 256-350-7779
 Fax: 256-350-2272
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for MITRA H BRIDWELL · (Female)

NPI Number 1023247145
Status Active
Credentials R, MR
Entity Individual
Enumeration date 07/10/2009
Last updated 07/10/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 290989
Hospital affiliation(s) Not Available
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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