Individual
DR. SHANE M SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-6200
(253) 968-2252
Mailing address
5321 N 48TH ST, TACOMA, WA 98407-3821
(210) 887-6156
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
UNKNOWN
IN
Other
Enumeration date
01/16/2007
Last updated
10/24/2023
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