Organization
SIMONMED IMAGING NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD JOHN SIMON MD (PRESIDENT)
(602) 809-6623
Entity
Organization
Contact information
Practice address
310 REGENCY PKWY, STE 125, OMAHA, NE 68114-3791
(402) 255-2700
(402) 255-2701
Mailing address
PO BOX 203545, DALLAS, TX 75320-3545
(888) 685-3913
(800) 508-4751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/14/2014
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