| Summit Medical Care | |
|
777 N 500 W Ste 103 Provo UT 84601-1552 | |
| (801) 253-6886 | |
| (801) 253-6888 |
| Full Name | Summit Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 777 N 500 W Ste 103, Provo, Utah |
| Authorized Official Name and Position | Ryan Ellsworth (OWNER) |
| Authorized Official Contact | 8015500955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Care 9980 S 300 W Ste 310 Sandy UT 84070-3654 Ph: (801) 253-6886 | Summit Medical Care 777 N 500 W Ste 103 Provo UT 84601-1552 Ph: (801) 253-6886 |
| NPI Number | 1881216646 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881216646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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