Provider Demographics
NPI:1104096981
Name:ARMOUR, CHRISTENSEN, SIMON, CHARTERED
Entity type:Organization
Organization Name:ARMOUR, CHRISTENSEN, SIMON, CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IRWIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-735-2305
Mailing Address - Street 1:2450 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2720
Mailing Address - Country:US
Mailing Address - Phone:702-735-2305
Mailing Address - Fax:702-538-9540
Practice Address - Street 1:2450 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2720
Practice Address - Country:US
Practice Address - Phone:702-735-2305
Practice Address - Fax:702-538-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0020-19607Medicaid
NV0020-19607Medicaid