Organization Name: | SIMONMED GLENDALE LLC |
NPI Number: | 1831100916 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD J SIMON (DIRECTOR) |
Mailing Address: | 5410 W Thunderbird Rd Suite 100 Glendale |
State: | AZ US |
Postal Code: | 853064711 |
Phone Number: | 6027498600 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |