Provider Demographics
NPI:1922570332
Name:SUMMIT VIEW PHYSICIAN PARTNERS, LLC
Entity Type:Organization
Organization Name:SUMMIT VIEW PHYSICIAN PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-314-2288
Mailing Address - Street 1:7010 E CHAUNCEY LN STE 215
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-3117
Mailing Address - Country:US
Mailing Address - Phone:480-314-2288
Mailing Address - Fax:480-314-1113
Practice Address - Street 1:7010 E CHAUNCEY LN STE 215
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-3117
Practice Address - Country:US
Practice Address - Phone:480-314-2288
Practice Address - Fax:480-314-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-24
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain