Individual
DR. DAVID BENJAMIN SUMMER
Active
Individual
DR. DAVID BENJAMIN SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101028478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006370675
—
VA
01
—
045888YT07
PTAN
VA
01
—
045888ZFY4
GROUP MEMBER PTAN
VA
Enumeration date
07/08/2005
Last updated
02/01/2016
Update your record
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