Summit Medical Group

NPI #1346515491 in Aurora, Indiana

Provider Information

NPI Number: 1346515491
Entity Type: Organization
Organization Name: Summit Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Mar 21, 2012
Last Updated: Mar 21, 2012

Practice Location

Address: 204 BRIDGEWAY ST
City: Aurora
State: Indiana
ZIP Code: 47001-1334
Phone: (812) 926-3133

Authorized Official

Name: GLENN LOOMIS
Title: PRESIDEN, CEO
Phone: (859) 344-3733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Internal Medicine	207R00000X	Primary

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