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Organization

SMI IMAGING, LLC

Active
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Organization

SMI IMAGING, LLC

Active
Other names
SimonMed Imaging - Stadium Village
Organization subpart
No

Provider details

NPI number
Authorized official
HOWARD J SIMON M.D. (PRESIDENT)
(480) 264-2400
Entity
Organization

Contact information

Practice address
14823 W BELL RD, SUITE 110, SURPRISE, AZ 85374-7607
(623) 214-1492
(623) 546-5783
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
OTC4917
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
571290
AZ
Enumeration date
02/19/2010
Last updated
03/30/2011
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