Individual
CARL D. SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2360
(314) 206-3700
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2360
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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