Healthcare Provider Details

I. General information

NPI: 1386732469
Provider Name (Legal Business Name): SUMMIT SURGICAL CONSULTANTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 PEAK ONE DRIVE
FRISCO CO
80443
US

IV. Provider business mailing address

PO BOX 5297
FRISCO CO
80443-5297
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-5858
  • Fax: 405-948-6507
Mailing address:
  • Phone: 800-683-9930
  • Fax: 405-948-6507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES E GEDDES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 970-668-5858