NPI 1164397410

Summit Medical Providers LLC

Organisation General Practice Physician Eagle, ID

Practice location

Address: 2205 E Riverside Dr, Eagle, ID 83616-7620
Phone: (801) 867-9760
Fax: (801) 880-4400

Authorised official

Name: Rachel Fletcher
Title: Owner
Phone: (801) 867-9760

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Idaho →

Registry record

NPI: 1164397410
Entity type: Organization
NPI issued: 7 Oct 2025
Record last updated: 7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.