Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE ALLEN BRIDGE, M.D.
Active Sole ProprietorPediatrics · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1649375114
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.665208201702 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD00029692 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1014 S 320TH STSUITE CFEDERAL WAY, WA, 980035344Browse WA providers · Browse ZIP 98003
- Phone
- 2539410673
- Fax
- 2539418109
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| JUDITH R JOHNSON | MD | 1467445270 |
| ANDREA M FASULLO | MD | 1588689491 |
| RICHARD K GOULD | MD | 1982623377 |
| JONATHAN R FOX | MD | 1376562751 |
| CORRIE L TAKAHASHI | MD | 1134227903 |
| RICHARD ORY | MD | 1578659652 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.