Individual
MR. MATTHEW THOMAS SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4020 MURPHY CANYON RD, SAN DIEGO, CA 92123-4407
(858) 874-4500
(858) 292-4690
Mailing address
790 CAMINO DE LA REINA APT 263, SAN DIEGO, CA 92108-3266
(858) 349-2348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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