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Individual

GREGORY T SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(412) 359-3155
(412) 359-3483
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3155
(412) 359-3483

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
27758
WV
207L00000X
Anesthesiology Physician
MD00040439
WA
207L00000X
Anesthesiology Physician
Primary
MD045327L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189640
L&I
01
6892SU
B/S REGENCE 90
05
8287872
WA
Enumeration date
07/12/2006
Last updated
10/11/2022
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