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

Zachary Stidham, CSFA

Individual provider Surgical Assistant · NPI 1508645300

Zachary Stidham, CSFA is a Surgical Assistant in Bristol, Tennessee. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-1121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1508645300
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 24, 2023
Mailing address1 Medical Park Blvd # Or, Bristol, TN 37620-7430