Organization
SMI IMAGING, LLC
Active
Other names
SimonMed Imaging - 19th Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD J SIMON M.D. (PRESIDENT)
(480) 264-2400
Entity
Organization
Contact information
Practice address
6707 N 19TH AVE, SUITE 108, PHOENIX, AZ 85015-1104
(602) 242-4177
(602) 242-4022
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
—
—
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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