| NPI | 1619547601 |
|---|---|
| Doing Business As | SIMONMED IMAGING WATERFORD LAKES |
| Entity Type | Organization |
| Authorized Contact | HOWARD JOHN SIMON CEO/Owner 602-809-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-02-03 |