Organization
SPECTRUM MEDICAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN FRANKS-MITCHELL JAUREGUI (PRACTICE ADMINISTRATOR)
(480) 930-4353
Entity
Organization
Contact information
Practice address
52 E MONTEREY WAY STE A, PHOENIX, AZ 85012-2628
(480) 930-4353
(480) 930-4353
Mailing address
52 E MONTEREY WAY STE A, PHOENIX, AZ 85012-2628
(480) 930-4353
(480) 930-4353
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
24745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24745
AZ LICENSE
AZ
05
—
382763
—
AZ
01
—
AZ0800990
BCBS
AZ
Enumeration date
07/15/2018
Last updated
01/11/2019
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