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Organization
SPECTRUM HEALTHCARE GROUP, INC
Active
Organization
SPECTRUM HEALTHCARE GROUP, INC
Active
Other names
Verde Valley Guidance Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE BAILEY (CREDENTIALING SPECIALIST)
(877) 634-7333
Entity
Organization
Contact information
Practice address
651 W MINGUS AVE, COTTONWOOD, AZ 86326-4006
(928) 634-2236
(928) 634-8960
Mailing address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-6237
(877) 634-7333
(866) 984-3891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153499
—
AZ
Enumeration date
06/09/2014
Last updated
07/21/2021
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