Organization
CATALYST MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL E 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
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912458787
—
ID
05
—
1912458787
—
WA
Enumeration date
10/17/2016
Last updated
03/31/2023
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