# CATALYST MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750147450
- **Authorized official:** KARL E SUNDBERG (CEO)
- **Authorized official phone:** (208) 298-3100

## Contact information

- **Practice address:** 1174 ALTURAS DR, MOSCOW, ID 83843-8341
- **Practice address phone:** (208) 743-3523
- **Practice address fax:** (208) 298-4525
- **Mailing address:** 2315 8TH ST, LEWISTON, ID 83501-7301
- **Mailing address phone:** (208) 746-1383
- **Mailing address fax:** (208) 298-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024