Most Relevant Information
Provider Data
| NPI Number: | 1003445792 |
| Provider Name: | BRIDGET NICOLE RALSTON-RIPPLE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2020 |
| Last Updated: | 09/22/2020 |
Provider Practice Location
1320 N 10TH ST STE A
PHOENIX
AZ
850062710
Practice Location Phone/Fax
| Phone: | 6028392000 |
| Fax: |
Provider Mailing Location
1320 N 10TH ST STE A
PHOENIX
AZ
850062710
Provider Mailing Phone/Fax
| Phone: | 6028392000 |
| Fax: |