Provider Demographics
NPI:1386854347
Name:BRISTOL, RUTH E (MD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:E
Last Name:BRISTOL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1919 E THOMAS RD
Mailing Address - Street 2:BUILDING 2108, SUITE 101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7710
Mailing Address - Country:US
Mailing Address - Phone:602-512-8029
Mailing Address - Fax:602-512-8161
Practice Address - Street 1:1919 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7710
Practice Address - Country:US
Practice Address - Phone:602-933-0975
Practice Address - Fax:602-933-0445
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2013-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ35092207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery