Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHRISTOPHER RAY SUNDQUIST, PAC
ActiveMR. CHRISTOPHER RAY SUNDQUIST, PAC is a Medical Physician Assistant healthcare provider located in ATHOL, Idaho. NPI 1366510752 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ATHOL, ID
Registration Details
- NPI Number
- 1366510752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.659321656765 yrs)
- Last Updated
- Aug 22, 2007
- License
-
PA-303 (ID)
Practice Information
- Address
-
6101 W HWY 54SUITE AATHOL, ID, 83801Browse ID providers · Browse ZIP 83801
- Phone
- 2086830800
- Fax
- 2086830900
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.