Organization
SPECTRUM HEALTHCARE GROUP, INC
Active
Parent organization
VERDE VALLEY GUIDANCE CLINIC
Other names
Valley Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERDE VALLEY GUIDANCE CLINIC
Authorized official
CONNIE SVALENG (CFO)
(928) 634-2236
Entity
Organization
Contact information
Practice address
214 S MAIN ST, COTTONWOOD, AZ 86326-3907
(928) 634-7534
(928) 634-9642
Mailing address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-6237
(928) 203-5404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OTC5537
AZ
208000000X
Pediatrics Physician
Primary
OTC5537
AZ
363A00000X
Physician Assistant
OTC5537
AZ
363LF0000X
Family Nurse Practitioner
OTC5537
AZ
Other
Enumeration date
08/22/2013
Last updated
06/05/2014
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