Individual
DR. MARK ADAM SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
697 LOUISIANA RD, 7TH MDG, DYESS AFB, TX 79607-1141
(325) 696-5490
Mailing address
697 LOUISIANA RD, 7TH MDG, DYESS AFB, TX 79607-1141
(325) 696-5490
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0101102440
VA
Other
Enumeration date
12/13/2005
Last updated
12/26/2012
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