Organization
SPECTRUM MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANES JASON VANIG MD (PRESIDENT)
(602) 604-9500
Entity
Organization
Contact information
Practice address
52 E MONTEREY WAY, PHOENIX, AZ 85012-2628
(602) 604-9500
(602) 631-9303
Mailing address
52 E MONTEREY WAY, PHOENIX, AZ 85012-2628
(602) 604-9500
(602) 631-9303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382763
—
AZ
Enumeration date
06/26/2007
Last updated
12/03/2007
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