Provider Demographics
NPI:1427031384
Name:BARD, CATHERINE SUNDSTROM (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:SUNDSTROM
Last Name:BARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 78 BOX 2031
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:UNKNOWN
Mailing Address - Zip Code:AP
Mailing Address - Country:JP
Mailing Address - Phone:01181311-755-3627
Mailing Address - Fax:
Practice Address - Street 1:PSC 78 BOX 2031
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:AP
Practice Address - Country:JP
Practice Address - Phone:225-3627
Practice Address - Fax:225-6358
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1858207Q00000X
NC207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine