| NPI | 1356868954 | 
|---|---|
| Other Name | SUMMITT ENT | 
| Entity Type | Organization | 
| Authorized Contact | KRISTINE RUSLEN Director Of Reimbursement 510-974-8297  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology | 
| Enumeration Date | 2017-08-24 | 
| Last Update Date | 2017-08-24 |