Individual
MEADOW ROMNEY SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1064 S NORTH COUNTY BLVD, PLEASANT GROVE, UT 84062-3427
(801) 477-7189
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 436-6906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10077562-1206
UT
363AM0700X
Medical Physician Assistant
MED-PAC-LIC-59078
MT
363AM0700X
Medical Physician Assistant
PA61053866
WA
Other
Enumeration date
09/13/2016
Last updated
06/08/2023
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