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NPI Code Detail

MEDICARE: CHRIS SIMOPOULOS LLC

MEDICARE: CHRIS SIMOPOULOS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305S00000XPoint of ServiceL-1730351-7AZ

General Provider Information

NPI Number : 1952675605
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRIS SIMOPOULOS LLC
Provider Business Mailing Address
First Line : 7575 W LOWER BUCKEYE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-3450
Country : US
Telephone Number : 602-790-4610
Fax Number :
Provider Business Practice Location Address
First Line : 7575 W LOWER BUCKEYE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-3450
Country : US
Telephone Number : 623-907-5952
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. CHRIS SIMOPOULOS
Credential : O.D.
Telephone Number : 602-790-4610
Provider Enumeration Date : 02/28/2012
Last Update Date : 03/20/2013

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Directions to “CHRIS SIMOPOULOS LLC ” Practice Location

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