| Spectrum Health Center, P.c. | |
|
4136 N 75th Ave Ste 101 Phoenix AZ 85033-3171 | |
| (623) 849-2220 | |
| (623) 849-2574 |
| Full Name | Spectrum Health Center, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4136 N 75th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Billy Joe Evans (PRESIDENT) |
| Authorized Official Contact | 6028492220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Center, P.c. 4136 N 75th Ave Ste 101 Phoenix AZ 85033-3171 Ph: (623) 849-2220 | Spectrum Health Center, P.c. 4136 N 75th Ave Ste 101 Phoenix AZ 85033-3171 Ph: (623) 849-2220 |
| NPI Number | 1215972104 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215972104 | NPI | - | NPPES |
| 375272 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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