Organization
SIMONMED IMAGING, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD J SIMON M.D. (OWNER)
(480) 809-4829
Entity
Organization
Contact information
Practice address
9201 EAST MOUNTAIN VIEW ROAD, SUITE 112, SCOTTSDALE, AZ 85258-5140
(602) 714-6160
(602) 714-6161
Mailing address
6900 EAST CAMELBACK ROAD, SUITE 700, SCOTTSDALE, AZ 85251
(480) 809-4829
(623) 322-6147
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0763418
—
AZ
05
—
763418
—
AZ
01
—
AZ0729440
BCBS IDENTIFIER
AZ
Enumeration date
06/03/2006
Last updated
02/28/2018
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