| NPI | 1609429646 |
|---|---|
| Doing Business As | BRISTLECONE MEDICAL, INC. |
| Entity Type | Organization |
| Authorized Contact | JULIE GOMER Co Owner 763-913-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |