Summit Surgical Suites, LLC
NPI #1154322410 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1154322410
- Entity Type
- Organization
- Organization Name
- Summit Surgical Suites, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 7920 W JEFFERSON BLVD
- Address 2
- SUITE 210
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4168
- Phone
- (260) 434-2022
Authorized Official
- Name
- KRISTY MUSIC
- Title
- DIRECTOR OF PROVIDER ENROLLMENT-AO
- Phone
- (615) 465-7377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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