Business Name
Physician First Name
*Anthem
Physician Last Name
SMI Imaging LLC
Practice Name
Specialty
Ancillary
Office Designation
Primary
Address
3618 W. Anthem Way
85086
85086
Suite
Suite D104 & D108
City
Anthem
State
AZ
County
Maricopa
Business Phone Number
(623)879-3740
Business Website Address
Business Fax
(602)302-5865
ASPA Effective Date
4/2/2018