Business Name
Physician First Name
*Buckeye
Physician Last Name
SMI Imaging LLC
Practice Name
Specialty
Ancillary
Office Designation
Primary
Address
818 S. Watson Road
85236
85236
Suite
Suite 102
City
Buckeye
State
AZ
County
Maricopa
Business Phone Number
(623)302-9080
Business Website Address
Business Fax
(602)302-5864
ASPA Effective Date
8/7/2017