NPI 1891206694

Summit Wellness Group INC

Organisation General Practice Physician Longmont, CO

Practice location

Address: 7337 E County Line Rd, Longmont, CO 80504-8430
Phone: (303) 579-5922

Authorised official

Name: Julie Krell Hall
Title: President
Phone: (303) 579-5922

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 41656 (CO)

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Registry record

NPI: 1891206694
Entity type: Organization
NPI issued: 19 Oct 2017
Record last updated: 19 Oct 2017

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.