# SPECTRUM HEALTH CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215972104
- **Authorized official:** BILLY JOE EVANS M.D. (PRESIDENT)
- **Authorized official phone:** (602) 849-2220

## Contact information

- **Practice address:** 4136 N 75TH AVE, STE 101, PHOENIX, AZ 85033-3171
- **Practice address phone:** (623) 849-2220
- **Practice address fax:** (623) 849-2574
- **Mailing address:** 4136 N 75TH AVE, STE 101, PHOENIX, AZ 85033-3171
- **Mailing address phone:** (623) 849-2220
- **Mailing address fax:** (623) 849-2574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 02/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 375272 | — | AZ |