| Summit Pediatrics, Llc | |
|
3171 Ne Carnegie Dr Suite A Lees Summit MO 64064-3215 | |
| (816) 525-2800 | |
| (816) 525-4077 |
| Full Name | Summit Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3171 Ne Carnegie Dr, Lees Summit, Missouri |
| Authorized Official Name and Position | Tamara L Peterson (GENERAL PEDIATRICIAN/MANAGER) |
| Authorized Official Contact | 8165252800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Pediatrics, Llc 3171 Ne Carnegie Dr Suite A Lees Summit MO 64064-3215 Ph: (816) 525-2800 | Summit Pediatrics, Llc 3171 Ne Carnegie Dr Suite A Lees Summit MO 64064-3215 Ph: (816) 525-2800 |
| NPI Number | 1700151818 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700151818 | NPI | - | NPPES |
| NA | Other | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2008015364 (Missouri) | Primary |
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