Individual provider · Type 1 NPI

Michael Berly Bridges, PA-C

Medical Physician Assistant · Santa Cruz, CA

NPI number 1669560645 Active

Practice location

610 Frederick St
Santa Cruz, CA 95062-2203

Call (831) 576-3000 Map

Mailing address

3580 Misty Ln
Aptos, CA 95003-2727

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X14687 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1669560645

Michael Berly Bridges, PA-C's National Provider Identifier is 1669560645, issued on Oct 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Cruz, CA. The record was last updated on Nov 23, 2011.