Individual
DR. SIMON M BILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9316 E RAINTREE DR STE 140, SCOTTSDALE, AZ 85260-3005
(480) 614-2322
(480) 614-2522
Mailing address
9316 E RAINTREE DR STE 140, SCOTTSDALE, AZ 85260-3005
(480) 614-2322
(480) 614-2522
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6058
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200318014
FRDERAL TAX ID
AZ
01
—
AZ0939460
BLUE CROSS NONPAR PROVIDE
AZ
Enumeration date
10/11/2006
Last updated
07/08/2007
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