Organization
SMI IMAGING, LLC
Active
Other names
SimonMed Imaging - Maryvale
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD J SIMON M.D. (PRESIDENT)
(480) 264-2400
Entity
Organization
Contact information
Practice address
4616 N 51ST AVE, SUITE 104, PHOENIX, AZ 85031-1716
(714) 571-5000
(714) 571-5055
Mailing address
PO BOX 7368, ORANGE, CA 92863-7368
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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