Provider Demographics
NPI:1568498442
Name:FIECHTNER, BRIDGET KAYE (MD)
Entity type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:KAYE
Last Name:FIECHTNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:22239 MADISON PARK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2511
Mailing Address - Country:US
Mailing Address - Phone:210-481-9497
Mailing Address - Fax:
Practice Address - Street 1:2200 BERGQUIST DRIVE, SUITE 1 MMIM
Practice Address - Street 2:WILFORD HALL MEDICAL CENTER
Practice Address - City:LACKLAND AIR FORCE BASE
Practice Address - State:TX
Practice Address - Zip Code:78236
Practice Address - Country:US
Practice Address - Phone:210-292-5336
Practice Address - Fax:210-292-7868
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01056259A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine