Organization
CATALYST MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL SUNDBERG (CEO)
(208) 746-1383
Entity
Organization
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501
(208) 746-1383
(208) 746-6348
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BL17-000004
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912458787
—
ID
Enumeration date
03/03/2017
Last updated
03/31/2023
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