Provider Demographics
NPI:1801854740
Name:SUMMERS, DAVID HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HOWARD
Last Name:SUMMERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8665 SUDLEY RD
Mailing Address - Street 2:#299
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4688
Mailing Address - Country:US
Mailing Address - Phone:703-470-3666
Mailing Address - Fax:
Practice Address - Street 1:US HOSPITAL LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:ATTN: MCEUL -M-A
Practice Address - City:LANDSTUHL/KIRCHBERG
Practice Address - State:RHEINLAND/PFALZ
Practice Address - Zip Code:66849
Practice Address - Country:DE
Practice Address - Phone:49637-186-8502
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028479171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider