Provider Demographics
NPI:1811158017
Name:SUMMERS, MARY SUE (DVM)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:SUE
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 S POST RD
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6602
Mailing Address - Country:US
Mailing Address - Phone:405-732-4599
Mailing Address - Fax:405-732-5078
Practice Address - Street 1:1628 S POST RD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6602
Practice Address - Country:US
Practice Address - Phone:405-732-4599
Practice Address - Fax:405-732-5078
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2267174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian