Individual provider · Type 1 NPI

Bradley Dean Summers, PA

Medical Physician Assistant · Ridgecrest, CA

NPI number 1093864829 Active

Practice location

1111 N China Lake Blvd, Ridgecrest Regional Hospital
Ridgecrest, CA 93555-3131

Mailing address

File 50670
Los Angeles, CA 90074-0670

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA17047 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1093864829

Bradley Dean Summers, PA's National Provider Identifier is 1093864829, issued on Jan 10, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ridgecrest, CA. The record was last updated on Jul 8, 2021.