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Organization
SUMMIT WELLNESS INSTITUTE LLC
Active
Organization
SUMMIT WELLNESS INSTITUTE LLC
Active
Parent organization
SUMMIT BRAIN AND SPINE PC
Other names
Summit Brain and Spine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT BRAIN AND SPINE PC
Authorized official
JEN FAIRBANKS (MANAGER)
(385) 345-3560
Entity
Organization
Contact information
Practice address
3000 N TRIUMPH BLVD STE 330, LEHI, UT 84043-4999
(385) 345-3560
(877) 331-0467
Mailing address
3000 N TRIUMPH BLVD STE 330, LEHI, UT 84043-4999
(385) 345-3560
(877) 331-0467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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