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Organization

SUMMIT WELLNESS INSTITUTE LLC

Active
Parent organization
SUMMIT BRAIN AND SPINE PC
Other names
Summit Brain and Spine
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT BRAIN AND SPINE PC
Authorized official
JEN FAIRBANKS (MANAGER)
(385) 345-3560
Entity
Organization

Contact information

Practice address
3000 N TRIUMPH BLVD STE 330, LEHI, UT 84043-4999
(385) 345-3560
(877) 331-0467
Mailing address
3000 N TRIUMPH BLVD STE 330, LEHI, UT 84043-4999
(385) 345-3560
(877) 331-0467

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/06/2022
Last updated
04/06/2022
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