Organization
SPECTRUM HEALTHCARE GROUP, INC
Active
Other names
Verde Valley Guidance Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE BAILEY (CREDENTIALING/CONTRACTING SPECIALIS)
(877) 634-7333
Entity
Organization
Contact information
Practice address
3633 CROSSINGS DR, PRESCOTT, AZ 86305-7101
(928) 778-0330
(928) 778-1146
Mailing address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(877) 634-7333
(866) 984-3891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2021
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