Chad Summers, PA-C
Physician Assistant, Surgical in Mesa, AZ. Individual provider (NPI-1).
NPI number1104556992
StatusActive
Last updated in NPPESMar 27, 2026
Details
- NPI
- 1104556992
- Entity type
- Individual (NPI-1)
- Name
- Chad Summers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Mar 27, 2026
- Last updated
- Mar 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | AZ | Yes |
| 363AM0700X | Physician Assistant, Medical | – | AZ |
Practice location
2945 S Dobson RdMesa, AZ 85202-7941
Phone 480-969-4138 · Fax 480-969-0630
Mailing address
4573 E Olney AveGilbert, AZ 85234-7661
Phone 208-230-4470
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