Organization
SMI IMAGING LLC
Active
Other names
SimonMed Imaging - Peoria Towne Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JOHN SIMON MD (CEO)
(480) 478-6545
Entity
Organization
Contact information
Practice address
9125 W THUNDERBIRD RD STE 105, PEORIA, AZ 85381-4921
(623) 234-8725
Mailing address
6900 E CAMELBACK RD STE 700, SCOTTSDALE, AZ 85251-2400
(480) 306-6949
(602) 302-5706
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OTC4845
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541914
—
AZ
Enumeration date
02/24/2010
Last updated
12/11/2020
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