Provider Demographics
NPI:1881474609
Name:SUMMERS, BRYCE (ND)
Entity type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:
Last Name:SUMMERS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 S DAVIS CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6706
Mailing Address - Country:US
Mailing Address - Phone:541-971-0330
Mailing Address - Fax:
Practice Address - Street 1:2018 S DAVIS CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6706
Practice Address - Country:US
Practice Address - Phone:541-971-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath