| NPI | 1144090119 |
|---|---|
| Doing Business As | SUMMIT HEALTH PHYSICIAN DISPENSARY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL EDMUND MASSINE Chief Physician Executive 541-382-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |