Bogdan Ristic
Bogdan Ristic is a Student in an Organized Health Care Education/Training Program in Hercules, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
139 Fremont CtHercules, CA 94547-1141
Phone: (510) 318-1537
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1609463538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2020 |
| Last updated in NPPES | October 18, 2021 |
| Certification date | October 18, 2021 |
| Mailing address | 139 Fremont Ct, Hercules, CA 94547-1141 |
Other providers in Hercules
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MS. Shanice Guidry
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Dr. Jason M. Hataye, MD
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Dr. Mikel Java, MD, PHD
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Cristian Medal
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