| Summit Primary Care | |
|
75 Printers Pkwy Ste 200 Colorado Springs CO 80910-3142 | |
| (719) 300-8433 | |
| Not Available |
| Full Name | Summit Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 75 Printers Pkwy Ste 200, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lawrence Scott Wilner (CEO) |
| Authorized Official Contact | 7193008433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Primary Care Po Box 5300 Colorado Springs CO 80931-5300 Ph: () - | Summit Primary Care 75 Printers Pkwy Ste 200 Colorado Springs CO 80910-3142 Ph: (719) 300-8433 |
| NPI Number | 1285256818 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285256818 | NPI | - | NPPES |
| DR.0032016 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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