| Spectrum Medical Group, Pc | |
|
52 E Monterey Way Phoenix AZ 85012-2628 | |
| (602) 604-9500 | |
| (602) 631-9303 |
| Full Name | Spectrum Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 52 E Monterey Way, Phoenix, Arizona |
| Authorized Official Name and Position | Thanes Jason Vanig (PRESIDENT) |
| Authorized Official Contact | 6026049500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Medical Group, Pc 52 E Monterey Way Phoenix AZ 85012-2628 Ph: (602) 604-9500 | Spectrum Medical Group, Pc 52 E Monterey Way Phoenix AZ 85012-2628 Ph: (602) 604-9500 |
| NPI Number | 1861698722 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861698722 | NPI | - | NPPES |
| 382763 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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