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Organization

SMI IMAGING, LLC

Active
Other names
SimonMed Imaging - Deer Valley
Organization subpart
No

Provider details

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

Contact information

Practice address
20414 N 27TH AVE STE 150, PHOENIX, AZ 85027-3246
(623) 234-2520
(623) 234-2530
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
OTC4685
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
473352
AZ
01
P00811052
RAILROAD MEDICARE
Enumeration date
09/02/2009
Last updated
05/07/2010
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