| NPI | 1891436432 |
|---|---|
| Doing Business As | SUMMIT BRAIN AND SPINE |
| Entity Type | Organization |
| Authorized Contact | JEN FAIRBANKS Manager 385-345-3560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |