SUMMIT MEDICAL GROUP ARIZONA LLC NPI 1053810622

NPI Information

SUMMIT MEDICAL GROUP ARIZONA LLC is a family medicine in Glendale, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUMMIT MEDICAL GROUP ARIZONA LLC NPI is 1053810622. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5620 W THUNDERBIRD RD STE F1
GLENDALE, AZ
ZIP 85306-652
Phone: (844) 969-0686
Fax: (773) 832-7083

The provider's authorized official is Kristi I Lee .
The authorized official title is Senior Director and has the following contact phone number (706) 513-4897.

The CLIA number assigned to this NPI record is 03D0690689 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/8/2018 and was last updated on 12/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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