Organization
SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ROBERT ALLEN (ADMINISTRATOR)
(928) 537-4375
Entity
Organization
Contact information
Practice address
728 E WHITE MOUNTAIN BLVD, PINETOP, AZ 85929
(952) 653-2565
(952) 653-2540
Mailing address
728 E WHITE MOUNTAIN BLVD, PINETOP, AZ 85929
(952) 653-2565
(952) 653-2540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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