Community Bridges, INC

NPI #1508122078 in Winslow, Arizona

Provider Information

NPI Number
1508122078
Entity Type
Organization
Organization Name
Community Bridges, INC
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY BRIDGES, INC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 9, 2012
Last Updated
Apr 9, 2012

Practice Location

Address
105 N COTTONWOOD AVE
State
Arizona
ZIP Code
86047-4011
Phone
(928) 289-3151

Authorized Official

Name
MR. JOHN HOGEBOOM, LISAC
Title
VP/COO
Phone
(480) 831-7566

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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