Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Spectrum Healthcare Group, Inc

Organization Family Medicine Physician · NPI 1750937868

Spectrum Healthcare Group, Inc is a Family Medicine Physician in Prescott, Arizona. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

990 Willow Creek Rd
Prescott, AZ 86301-1640
Phone: (928) 634-2236
Fax: (928) 634-8960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X
Pain Medicine Physician Taxonomy 208VP0000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1750937868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corinne Bailey — Credentialing Specialist · (928) 634-2236
NPI enumeratedAugust 14, 2019
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020
Mailing address8 E Cottonwood St, Cottonwood, AZ 86326-4382

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