Mark Adam Summers MD

NPI 1043295041 - Preventive Medicine - 2083A0100X

NPI Details
NPI 1043295041
Gender Male
Enumeration Date 12/13/2005
Last Updated 12/26/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
697 LOUISIANA RD
7TH MDG
DYESS AFB TX, 79607-1141, US
Phone (325) 696-5490
Fax
Business Location
697 LOUISIANA RD
7TH MDG
DYESS AFB TX, 79607-1141, US
Phone (325) 696-5490
Fax
Toxanomy
Taxonomy Code 2083A0100X
License State Virginia
License Number 0101102440
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According to our database, Dr. Mark Adam Summers MD NPI is 1043295041, taxonomy code is 2083A0100X and license number is 0101102440, license state is located at Virginia. Mark Adam Summers MD physically located at 697 Louisiana Rd, Dyess Afb TX, 79607-1141. NPI Number Mark Adam Summers MD has the Individual type.

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1043295041 NPI number is provided on an as is basis without warranty of any kind. 1043295041 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Adam Summers MD are for informational purposes only.