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1164397410
SUMMIT MEDICAL PROVIDERS LLC
EAGLE, ID
NPI
1164397410
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Entity Type
Organization
Authorized Contact
RACHEL FLETCHER
Owner
801-867-9760
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2025-10-07
Last Update Date
2025-10-07
Business Address
SUMMIT MEDICAL PROVIDERS LLC
2205 E RIVERSIDE DR
EAGLE, ID 83616-7620
Phone number: 801-867-9760
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Mailing Address
SUMMIT MEDICAL PROVIDERS LLC
2205 E RIVERSIDE DR
EAGLE, ID 83616-7620
Phone number: 801-867-9760
Copy
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