Individual
DR. SHANNON JAMES SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 STOCKYARD RD STE I-200, MISSOULA, MT 59808-1548
(406) 728-8420
(406) 541-8430
Mailing address
VIRGINIA MASON MEDICAL CENTER, 925 SENECA ST., H8-GME, SEATTLE, WA 98101-2742
(206) 583-6079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-81144
MT
207L00000X
Anesthesiology Physician
ML60756168
WA
208000000X
Pediatrics Physician
65209-20
WI
Other
Enumeration date
04/09/2014
Last updated
07/09/2020
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