Individual
RODRIGO G BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
634 KALIHI ST, HONOLULU, HI 96819
(808) 845-3911
(808) 868-0870
Mailing address
634 KALIHI ST, HONOLULU, HI 96819
(808) 845-3911
(808) 868-0870
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2213
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000036103
HMSA
—
05
—
03263601
—
HI
Enumeration date
10/19/2006
Last updated
07/08/2007
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