Summit Emergency Medicine LLC
NPI #1679112130 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1679112130
- Entity Type
- Organization
- Organization Name
- Summit Emergency Medicine LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jan 2, 2020
- Last Updated
- Jan 2, 2020
Practice Location
- Address
- 104 LEGION DR
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4804
- Phone
- (505) 426-3930
Authorized Official
- Name
- CALEB O'REAR
- Title
- AUTHORIZED OFFICIAL
- Phone
- (505) 426-3930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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