Provider Demographics
NPI:1043021546
Name:SPECTRUM CONSULTING GROUP LLC
Entity type:Organization
Organization Name:SPECTRUM CONSULTING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:DUENAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:671-689-4219
Mailing Address - Street 1:214 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:YONA
Mailing Address - State:GU
Mailing Address - Zip Code:96915-6658
Mailing Address - Country:US
Mailing Address - Phone:671-689-4219
Mailing Address - Fax:
Practice Address - Street 1:280 PALE SAN VITORES RD
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3615
Practice Address - Country:US
Practice Address - Phone:671-689-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center