Spectrum Healthcare
Point of Service in Cottonwood, AZ. Organization (NPI-2).
NPI number1083166136
StatusActive
Last updated in NPPESOct 25, 2016
Details
- NPI
- 1083166136
- Entity type
- Organization (NPI-2)
- Legal business name
- Spectrum Healthcare
- Organization subpart
- No
- Enumeration date
- Oct 25, 2016
- Last updated
- Oct 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | 261QM0801X | AZ | Yes |
Practice location
8 E Cottonwood StCottonwood, AZ 86326-4382
Phone 928-634-2236 · Fax 928-634-8960
Mailing address
8 E Cottonwood StCottonwood, AZ 86326-4382
Phone 928-634-2236 · Fax 928-634-8960
Authorized official
April Razzo
Chief Executive Officer
9286342236
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