MR. Christopher Ray Sundquist, PAC

NPI #1366510752 in Athol, Idaho

Provider Information

NPI Number
1366510752
Entity Type
Individual
Name
MR. Christopher Ray Sundquist, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PAC
Enumeration Date
Dec 1, 2006
Last Updated
Aug 22, 2007

Practice Location

Address
6101 W HWY 54
Address 2
SUITE A
City
Athol
State
Idaho
ZIP Code
83801
Phone
(208) 683-0800

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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