Organization
SPORTS AND FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON MARK BILLINGHAM D.C. (PRESIDENT)
(480) 614-2322
Entity
Organization
Contact information
Practice address
9316 E RAINTREE DR, SUITE 140, SCOTTSDALE, AZ 85260-3005
(480) 614-2322
(480) 614-2522
Mailing address
9316 E RAINTREE DR, SUITE 140, SCOTTSDALE, AZ 85260-3005
(480) 614-2322
(480) 614-2522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6058
AZ
Other
Enumeration date
02/02/2011
Last updated
03/02/2011
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