| Summit Primary Care & Wellness | |
|
4440 S Eastern Ave Las Vegas NV 89119-7825 | |
| (702) 476-0023 | |
| (702) 973-3477 |
| Full Name | Summit Primary Care & Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Vascular Neurology |
| Location | 4440 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Teneshia Dachell Spencer (CEO) |
| Authorized Official Contact | 7024760023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Primary Care & Wellness 4440 S Eastern Ave Las Vegas NV 89119-7825 Ph: (702) 476-0023 | Summit Primary Care & Wellness 4440 S Eastern Ave Las Vegas NV 89119-7825 Ph: (702) 476-0023 |
| NPI Number | 1316459696 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316459696 | NPI | - | NPPES |
| 1134437114 | Other | NV | VASCULAR NEUROLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Primary |
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