Ronald Allen Bristow, CSFA
NPI #1639667900 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1639667900
- Entity Type
- Individual
- Name
- Ronald Allen Bristow, CSFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- CSFA
- Enumeration Date
- Apr 23, 2018
- Last Updated
- Apr 23, 2018
Practice Location
- Address
- 2003 KOOTENAI HEALTH WAY
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-6051
- Phone
- (208) 625-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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