Organization
SUMMIT HEALTHCARE ASSOCIATION
Active
Parent organization
SUMMIT HEALTHCARE ASSOCIATION
Other names
Summit Healthcare Specialty Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT HEALTHCARE ASSOCIATION
Authorized official
KENNETH ROBERT ALLEN (CCO)
(928) 537-6399
Entity
Organization
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6399
(928) 537-8839
Mailing address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6399
(928) 537-8839
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H0132
AZ
207RH0003X
Hematology & Oncology Physician
H0132
AZ
207RX0202X
Medical Oncology Physician
H0132
AZ
2085R0001X
Radiation Oncology Physician
H0132
AZ
208VP0000X
Pain Medicine Physician
H0132
AZ
282N00000X
General Acute Care Hospital
Primary
H0132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020016
—
AZ
Enumeration date
07/31/2008
Last updated
07/31/2008
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