Provider Demographics
NPI:1609192160
Name:JAMES M SUMMERS, DO & ASSOCIATES PC
Entity Type:Organization
Organization Name:JAMES M SUMMERS, DO & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO, PC
Authorized Official - Phone:406-542-2116
Mailing Address - Street 1:2825 FORT MISSOULA RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7480
Mailing Address - Country:US
Mailing Address - Phone:406-542-2116
Mailing Address - Fax:406-542-1425
Practice Address - Street 1:2825 FORT MISSOULA RD
Practice Address - Street 2:SUITE 304
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7480
Practice Address - Country:US
Practice Address - Phone:406-542-2116
Practice Address - Fax:406-542-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT12149207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty