Organization
SUMMIT PAIN SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN SPONSELLER (MANAGED CARE COORDINATOR)
(330) 945-9551
Entity
Organization
Contact information
Practice address
4302 ALLEN RD, SUITE 300, STOW, OH 44224-1032
(330) 945-9551
(330) 945-9920
Mailing address
4302 ALLEN RD, SUITE 300, STOW, OH 44224-1032
(330) 945-9551
(330) 945-9920
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2259532
—
OH
Enumeration date
12/19/2006
Last updated
06/02/2010
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