Individual
ROBERT E. BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(410) 955-6700
Mailing address
PO BOX 513980, LOS ANGELES, CA 90051-3980
(714) 456-7004
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D53552
MD
207VX0201X
Gynecologic Oncology Physician
Primary
G81369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G813690
—
CA
05
—
221505500
—
MD
Enumeration date
05/03/2006
Last updated
12/16/2011
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