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1801926035
JACK PEARSON SUMMERS
POCATELLO, ID
NPI
1801926035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID m3586)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Dr. JACK PEARSON SUMMERS md
5418 W BUCKSKIN RD
POCATELLO, ID 83201-9126
Phone number: 208-233-8209
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Mailing Address
Dr. JACK PEARSON SUMMERS md
5418 W BUCKSKIN RD
POCATELLO, ID 83201-9126
Phone number: 208-233-8209
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