Mr Christopher Ray Sundquist, PAC in Athol, ID - Physician Assistant

Mr Christopher Ray Sundquist, PAC is a Physician Assistant - Medical based in Athol, Idaho. Mr Christopher Ray Sundquist is licensed to practice in Idaho (license number PA-303) and his current practice location is 6101 W Hwy 54, Suite A, Athol, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 683-0800.

NPI number for Mr Christopher Ray Sundquist is 1366510752 and his current mailing address is Po Box 775, Athol, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366510752.

Contact Information

	Mr Christopher Ray Sundquist, PAC
	6101 W Hwy 54, Suite A, Athol, ID 83801
	(208) 683-0800
	(208) 683-0900

Provider's Profile

Full Name	Mr Christopher Ray Sundquist
Gender	Male
Speciality	Physician Assistant - Medical
Location	6101 W Hwy 54, Athol, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1366510752
Provider Enumeration Date: 12/01/2006
Last Update Date: 08/22/2007

Medical Identifiers

Medical identifiers for Mr Christopher Ray Sundquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366510752	NPI	-	NPPES
PAD92	Other	ID	BLUE CROSS PIN
000010158675	Other	ID	REGENCE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA-303 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Christopher Ray Sundquist is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Christopher Ray Sundquist, PAC Po Box 775, Athol, ID 83801 Ph: (208) 683-0800	Mr Christopher Ray Sundquist, PAC 6101 W Hwy 54, Suite A, Athol, ID 83801 Ph: (208) 683-0800

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Mr Christopher Ray Sundquist, PAC - Physician Assistant in Athol, ID