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Individual
DR. BENJAMIN NORMAN BRISTOW
Active
Individual
DR. BENJAMIN NORMAN BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, DTM&H
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105377
CA
207R00000X
Internal Medicine Physician
M1997
GU
2083P0901X
Public Health & General Preventive Medicine Physician
A105377
CA
2083P0901X
Public Health & General Preventive Medicine Physician
M1997
GU
208M00000X
Hospitalist Physician
Primary
A105377
CA
208M00000X
Hospitalist Physician
M1997
GU
Other
Enumeration date
09/30/2010
Last updated
12/15/2021
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