| Reagan E. A. Bristol, D.o. | |
|
3006 Campbell St Sandusky OH 44870-5381 | |
| (419) 627-9840 | |
| Not Available |
| Full Name | Reagan E. A. Bristol, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 3006 Campbell St, Sandusky, Ohio |
| Authorized Official Name and Position | Reagan E Bristol (OWNER) |
| Authorized Official Contact | 4196279840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reagan E. A. Bristol, D.o. 3006 Campbell St Sandusky OH 44870-5381 Ph: (419) 627-9840 | Reagan E. A. Bristol, D.o. 3006 Campbell St Sandusky OH 44870-5381 Ph: (419) 627-9840 |
| NPI Number | 1336525278 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 08/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336525278 | NPI | - | NPPES |
| 0256628 | Medicaid | OH | |
| BR4040091 | Other | MEDICARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34006440 (Ohio) | Primary |
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