Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ronald Allen Bristow, CSFA

Individual provider Surgical Assistant · NPI 1639667900

Ronald Allen Bristow, CSFA is a Surgical Assistant in Coeur D Alene, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2018
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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 154214 (ID)

Record details

NPI number1639667900
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedApril 23, 2018
Last updated in NPPESApril 23, 2018

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