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Contact Information

SHANNON J SUMMERS, MD
2825 STOCKYARD RD STE I-200
MISSOULA, MT59808-1548
 Phone: 406-728-8420
 Fax: 406-541-8430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHANNON J SUMMERS · (Male)

NPI Number 1629497433
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2014
Last updated 07/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MT License # MED-PHYS-LIC-81144
  • WA License # ML60756168
  • WI License # 65209-20
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER INC - (Acute Care)
    2827 FORT MISSOULA RD
    MISSOULA, MT 59804
  • ST PATRICK HOSPITAL - (Acute Care)
    500 W BROADWAY
    MISSOULA, MT 59806
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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