Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Summit Medical Group Arizona LLC

Organization Family Medicine Physician · NPI 1053810622

Summit Medical Group Arizona LLC provides Family Medicine Physician services in Glendale, Arizona. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5620 W Thunderbird Rd Ste F1
Glendale, AZ 85306-4652
Phone: (844) 969-0686
Fax: (773) 832-7083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1053810622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dalton Dunn — Credentialing Specialist · (623) 271-2094
NPI enumeratedFebruary 8, 2018
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026
Mailing addressPo Box 24981, Belfast, ME 04915-2000

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