Organization
FOOTHILLS PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON GEORGE (RN)
(316) 209-7731
Entity
Organization
Contact information
Practice address
1921 S ALMA SCHOOL RD STE 312, MESA, AZ 85210-3039
(480) 608-4877
(480) 608-4878
Mailing address
3546 E WINDMERE DR, PHOENIX, AZ 85048-7211
(316) 209-7731
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/30/2021
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