Individual
DR. TYRONE GARY BRISTOL
Active
Individual
DR. TYRONE GARY BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
198984
NY
208000000X
Pediatrics Physician
2013-02294
NC
208000000X
Pediatrics Physician
MD053658L
PA
2084P0800X
Psychiatry Physician
11658
GA
2084P0800X
Psychiatry Physician
Primary
MD053658L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD053658L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01697965
—
NY
05
—
1437150596
—
NC
05
—
NC2031
—
SC
Enumeration date
08/10/2005
Last updated
04/12/2023
Update your record
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