Summit Medical Providers LLC
Summit Medical Providers LLC is a General Practice Physician in Eagle, Idaho. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2205 E Riverside DrEagle, ID 83616-7620
Phone: (801) 867-9760
Fax: (801) 880-4400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1164397410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rachel Fletcher — Owner · (801) 867-9760 |
| NPI enumerated | October 7, 2025 |
| Last updated in NPPES | October 7, 2025 |
| Certification date | October 7, 2025 |
| Mailing address | 2205 E Riverside Dr, Eagle, ID 83616-7620 |
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Dr. Burt J Glazier, DO
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Preventative Health
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