| NPI | 1942701693 |
|---|---|
| Other Name | SUMMIT HEALTHCARE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT ALLEN Chief Practice Officer 928-537-4375 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-12-09 |