| NPI | 1710143607 |
|---|---|
| Doing Business As | SUMMIT HEALTHCARE SPECIALTY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT ALLEN Cco 928-537-6399 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AZ H0132) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ H0132) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ H0132) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ H0132) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: AZ H0132) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ H0132) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |