Provider Demographics
NPI:1750393666
Name:SUMME, TOMMY LYLE (DO)
Entity type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:LYLE
Last Name:SUMME
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Gender:M
Credentials:DO
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Mailing Address - Street 1:7614 195TH ST. S.W.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-5059
Mailing Address - Country:US
Mailing Address - Phone:425-744-0709
Mailing Address - Fax:425-771-1470
Practice Address - Street 1:7614 195TH ST. S.W.
Practice Address - Street 2:SUITE 200
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-4731
Practice Address - Country:US
Practice Address - Phone:425-744-0709
Practice Address - Fax:425-771-1470
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-02-03
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Provider Licenses
StateLicense IDTaxonomies
WA0P00000606207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAE32794Medicare UPIN