Physician First Name
*Missouri
Physician Last Name
SMI Imaging LLC
Specialty

Radiology Facility

Office Designation
Primary
Address
5501 N. 19th Avenue
85015-2451
Suite
Suite 111
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(480)828-9040
Business Website Address
Business Fax
(602)302-5961
ASPA Effective Date
7/2/2018