Organization
BONHOEFFER RHEUMATOLOGY INSTITUTE, LLC
Active
Other names
Summit Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
2451 E BASELINE RD, SUITE 425, GILBERT, AZ 85234-2471
(480) 494-2770
(480) 494-2771
Mailing address
2451 E BASELINE RD STE 425, GILBERT, AZ 85234-0049
(480) 494-2770
(480) 494-2771
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
261Q00000X
Clinic/Center
12739741
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041844
—
AZ
Enumeration date
07/27/2015
Last updated
08/01/2026
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