person
Mr. Christopher Ray Sundquist, PAC
Medical Physician Assistant in Athol, Idaho
NPI 1366510752

Christopher Ray Sundquist is a Medical Physician Assistant based in Athol, ID and is specialized in Medical. Christopher Ray Sundquist practices in Athol, ID and has the professional credentials of PAC. The NPI Number for Christopher Ray Sundquist is 1366510752 and holds a License No. PA-303 (Idaho).

The current practice location address for Christopher Ray Sundquist is 6101 W Hwy 54, Athol, ID and can be reached out via phone at 208-683-0800 and via fax at 208-683-0900.

Location: 6101 W Hwy 54, Athol, ID, 83801
person
Provider Profile Details
NPI Number
1366510752
Provider Name
Christopher Ray Sundquist
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
6101 W Hwy 54, Athol, ID, 83801
Phone Number
208-683-0800
Fax Number
208-683-0900
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PAD92 01 ID BLUE CROSS PIN
000010158675 01 ID REGENCE PIN
institution
Provider Business Practice Location Address Details
Address
6101 W Hwy 54
City
State
Zip
83801
Phone Number
208-683-0800
Fax Number
208-683-0900
person
Provider Business Mailing Address Details
Address
6101 W Hwy 54
City
State
Zip
83801
Phone Number
208-683-0800
Fax Number
208-683-0900
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-303 (Idaho)
Definition
Definition to come...
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