Provider Demographics
NPI:1750788592
Name:SUMMITT, GEORGE ARMSTRONG
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:ARMSTRONG
Last Name:SUMMITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12606 29TH PL W
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-5401
Mailing Address - Country:US
Mailing Address - Phone:425-530-9221
Mailing Address - Fax:
Practice Address - Street 1:12606 29TH PL W
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-5401
Practice Address - Country:US
Practice Address - Phone:425-530-9221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor