Organization · Type 2 NPI
Summit Sports Health & Performance, LLC
Health Service Clinic/Center · Edmond, OK
NPI number
1891407649
Active
Practice location
7312 NW 164th St Ste 102
Edmond, OK 73013-9055
Mailing address
6612 NW 148th St
Oklahoma City, OK 73142-7862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1891407649
Summit Sports Health & Performance, LLC's National Provider Identifier is 1891407649, issued on Dec 22, 2022. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Edmond, OK. The record was last updated on Dec 22, 2022.