Organization
SIMONMED GLENDALE LLC
Active
Organization
SIMONMED GLENDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD J SIMON MD (DIRECTOR)
(602) 749-8600
Entity
Organization
Contact information
Practice address
5410 W THUNDERBIRD RD, SUITE 100, GLENDALE, AZ 85306-4711
(602) 749-8600
Mailing address
9414 N 25TH AVE, SUITE 120, PHOENIX, AZ 85021-2706
(602) 749-8600
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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