NPI 1639667900

Ronald Allen Bristow, CSFA

Practitioner Surgical Assistant Coeur D Alene, ID

Practice location

Address: 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
Mailing address: PO Box 574, Hayden, ID 83835-0574

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 154214 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1639667900
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2018
Record last updated: 23 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.