Organization Name: | SUMMA PHYSICIANS INC. |
NPI Number: | 1083851869 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | T CLIFFORD DEVENY (PRESIDENT) |
Mailing Address: | 223 N Main St Rittman |
State: | OH US |
Postal Code: | 442701140 |
Phone Number: | 3309254911 |
Fax Number: | 3309279258 |
NPI Enumeration Date: | 01/15/2009 |
NPI Last Update Date: | 01/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |