Organization Name: | SIMON OLSTEIN, M.D., P.C. |
NPI Number: | 1063666311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SIMON OLSTEIN (PRESIDENT) |
Mailing Address: | 6991 E. Camelrack Rd. Suite B-360 Scottsdale Treatment Institute Scottsdale |
State: | AZ US |
Postal Code: | 85251 |
Phone Number: | 4804299044 |
Fax Number: | 4804299048 |
NPI Enumeration Date: | 11/13/2008 |
NPI Last Update Date: | 11/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |