Provider Demographics
NPI:1619781861
Name:SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC
Entity type:Organization
Organization Name:SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/ DO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:PANICO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:619-823-0642
Mailing Address - Street 1:2451 E BASELINE RD STE 425
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-0049
Mailing Address - Country:US
Mailing Address - Phone:480-494-2770
Mailing Address - Fax:
Practice Address - Street 1:4105 BRIARGATE PKWY STE 205
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3484
Practice Address - Country:US
Practice Address - Phone:719-886-6704
Practice Address - Fax:877-550-2140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty