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Organization
SUMMIT PEDIATRICS, LLC
Active
Organization
SUMMIT PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA L PETERSON D.O. (GENERAL PEDIATRICIAN/MANAGER)
(816) 525-2800
Entity
Organization
Contact information
Practice address
3171 NE CARNEGIE DR, SUITE A, LEES SUMMIT, MO 64064-3215
(816) 525-2800
(816) 525-4077
Mailing address
3171 NE CARNEGIE DR, SUITE A, LEES SUMMIT, MO 64064-3215
(816) 525-2800
(816) 525-4077
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2008015364
MO
Other
Enumeration date
03/21/2012
Last updated
04/26/2016
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