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Organization

SUMMIT MEDICAL GROUP ARIZONA LLC

Active
Find providers by NPI
Organization

SUMMIT MEDICAL GROUP ARIZONA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DALTON DUNN (CREDENTIALING SPECIALIST)
(623) 271-2094
Entity
Organization

Contact information

Practice address
5620 W THUNDERBIRD RD STE F1, GLENDALE, AZ 85306-4652
(844) 969-0686
(773) 832-7083
Mailing address
PO BOX 24981, BELFAST, ME 04915-2000
(615) 672-7122
(615) 672-7849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—

Other

Enumeration date
02/08/2018
Last updated
10/01/2026
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