Individual
JOSHUA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 CHANNING WAY STE 206, IDAHO FALLS, ID 83404-7546
(208) 529-2230
(208) 453-6142
Mailing address
3200 CHANNING WAY STE 206, IDAHO FALLS, ID 83404-7546
(208) 529-2230
(208) 453-6142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13251C
WY
208600000X
Surgery Physician
4557
TN
208600000X
Surgery Physician
81890
GA
208600000X
Surgery Physician
91207
MT
208600000X
Surgery Physician
Primary
O-0937
ID
Other
Enumeration date
06/14/2011
Last updated
06/04/2024
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