Organization
PHOENIX DIAGNOSTIC IMAGING INC
Active
Other names
Phoenix Diagnostic Imaging Superstition
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD J SIMON M.D. (PRESIDENT)
(480) 264-2400
Entity
Organization
Contact information
Practice address
875 N GREENFIELD RD, SUITE 107, GILBERT, AZ 85234-5044
(480) 813-8700
(480) 813-8707
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
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00156014
RAILROAD MEDICARE
AZ
Enumeration date
12/12/2005
Last updated
08/27/2012
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