ANNE MARIE BRIDEGROOM PA
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1811262694- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 261 DUNN RD, FLORISSANT, MO, 630317928
- Phone
- (314) 830-2600
- Fax
- (314) 830-2648
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: MO #2021004987
Physician Assistant, Medical
License: IL #085009102