Organization
RODRIGO G. BRISTOL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODRIGO GOSE BRISTOL M.D. (PRESIDENT)
(808) 845-3911
Entity
Organization
Contact information
Practice address
634 KALIHI ST, HONOLULU, HI 96819-4000
(808) 845-3911
(808) 848-0870
Mailing address
634 KALIHI ST, HONOLULU, HI 96819-4000
(808) 845-3911
(808) 848-0870
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2213
HI
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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