Organization
SUMMIT MEDICAL GROUP, INC
Active
Other names
St. Elizabeth Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN LOOMIS (PRESIDENT/CEO)
(859) 344-3733
Entity
Organization
Contact information
Practice address
4387 WINSTON AVE, COVINGTON, KY 41015-1739
(859) 431-7300
(859) 431-5999
Mailing address
2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 41017-1673
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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