Organization · Type 2 NPI
Summit Longevity & Aesthetics PLLC
Primary Care Clinic/Center · Rigby, ID
NPI number
1336047679
Active
Practice location
3991 E 400 N, Bldg 500A
Rigby, ID 83442
Mailing address
PO Box 644
Rigby, ID 83442-0644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Rigby
About NPI 1336047679
Summit Longevity & Aesthetics PLLC's National Provider Identifier is 1336047679, issued on Oct 27, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Rigby, ID. The record was last updated on Oct 27, 2026.