Individual
DR. MARK ROBERT SUMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.P.M.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TAMC, HI 96859-5001
(808) 433-3300
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TAMC, HI 96859-5001
(808) 433-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13281
HI
207Q00000X
Family Medicine Physician
34641
AZ
207Q00000X
Family Medicine Physician
4301080614
MI
213E00000X
Podiatrist
E3300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4740479-10
—
MI
Enumeration date
04/07/2006
Last updated
09/23/2009
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