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Individual

DR. BENJAMIN J SUMMERHAYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 884-1246
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
2011025326
MO
213E00000X
Podiatrist
2011025326
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2011025326
MO

Other

Enumeration date
02/18/2010
Last updated
07/08/2024
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