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Organization

SPECTRUM PROVIDERS , LLC

Active
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Organization

SPECTRUM PROVIDERS , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANN JAGENDA (MEMBER)
(818) 723-7338
Entity
Organization

Contact information

Practice address
2828 N CENTRAL AVE STE 814, PHOENIX, AZ 85004-1021
(818) 723-7338
Mailing address
2828 N CENTRAL AVE STE 814, PHOENIX, AZ 85004-1021

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/22/2026
Last updated
05/22/2026
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