Individual provider · NPI-1

Dr. Tristan Michael Spierling, D.O.

Family Medicine · Jbphh, HI

NPI number1417219288
StatusActive
Last updated in NPPESSep 17, 2024

Details

NPI
1417219288
Entity type
Individual (NPI-1)
Name
Dr. Tristan Michael Spierling
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 7, 2012
Certification date
Sep 17, 2024
Last updated
Sep 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5101020055MIYes

Practice location

755 Scott Cir
Jbphh, HI 96853-5399

Phone 808-448-6110

Mailing address

101 Bodin Cir
Fairfield, CA 94535-1809

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