Individual provider · Type 1 NPI
Christopher Ray Sundquist, PAC
Medical Physician Assistant · Athol, ID
NPI number
1366510752
Active
Practice location
6101 W Hwy 54, Suite A
Athol, ID 83801
Fax (208) 683-0900
Mailing address
PO Box 775
Athol, ID 83801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-303 (ID) |
Medical Physician Assistant: Definition to come...
About NPI 1366510752
Christopher Ray Sundquist, PAC's National Provider Identifier is 1366510752, issued on Dec 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Athol, ID. The record was last updated on Aug 22, 2007.