JACK PEARSON SUMMERS

POCATELLO, ID
NPI1801926035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  m3586)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Dr. JACK PEARSON SUMMERS md
5418 W BUCKSKIN RD
POCATELLO, ID 83201-9126
Phone number: 208-233-8209
Mailing Address
Dr. JACK PEARSON SUMMERS md
5418 W BUCKSKIN RD
POCATELLO, ID 83201-9126
Phone number: 208-233-8209
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