IAN J BRISTOL

PORTLAND, ME
NPI1235357294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: ME  MD17399)
Additional Taxonomies2085R0001X 
(Licence: NH  25134)
Enumeration Date2007-04-23
Last Update Date2025-04-07
Business Address
IAN J BRISTOL M.D.
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2276
Mailing Address
IAN J BRISTOL M.D.
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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