Healthcare Provider Details
I. General information
NPI: 1043021546
Provider Name (Legal Business Name): SPECTRUM CONSULTING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
280 PALE SAN VITORES RD
TAMUNING GU
96913-3615
US
IV. Provider business mailing address
214 LAKEVIEW DR
YONA GU
96915-6658
US
V. Phone/Fax
- Phone: 671-689-4219
- Fax:
- Phone: 671-689-4219
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
VINCENT
DUENAS
Title or Position: CEO
Credential: DO
Phone: 671-689-4219