Individual provider · Type 1 NPI

Summer Nicole Thompson, PA

Surgical Physician Assistant · Phoenix, AZ

NPI number 1760563399 Active

Practice location

18444 N 25th Ave, Suite 210
Phoenix, AZ 85023-1261

Call (866) 974-2673 Map

Fax (866) 939-2673

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3514 (AZ)
Medical Physician Assistant 363AM0700X3514 (AZ)
Surgical Physician Assistant Primary 363AS0400X3514 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1760563399

Summer Nicole Thompson, PA's National Provider Identifier is 1760563399, issued on Oct 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 18, 2024.