Individual
DR. GERALD ALLEN BRISTOL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 TOMMY MUNRO DR, SUITE A, BILOXI, MS 39532-2134
(228) 388-3993
Mailing address
925 TOMMY MUNRO DR, SUITE A, BILOXI, MS 39532-2134
(228) 388-3993
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12480
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02939763
—
MS
Enumeration date
06/15/2006
Last updated
07/08/2007
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