Bogdan Ristic

NPI #1609463538 in Hercules, California

Provider Information

NPI Number: 1609463538
Entity Type: Individual
Name: Bogdan Ristic
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Dec 26, 2020
Last Updated: Oct 18, 2021

Practice Location

Address: 139 FREMONT CT
City: Hercules
State: California
ZIP Code: 94547-1141
Phone: (510) 318-1537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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