Individual
DONALD TENNYSON SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 BELLEVUE AVE STE 500, SAINT LOUIS, MO 63117-1843
(314) 925-4773
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
2012016544
MO
208C00000X
Colon & Rectal Surgery Physician
228452
NY
Other
Enumeration date
04/14/2006
Last updated
11/18/2020
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