Spectra Family Medical Clinic LLC
NPI #1386812345 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1386812345
- Entity Type
- Organization
- Organization Name
- Spectra Family Medical Clinic LLC
- Primary Specialty
- Legal Medicine
- Enumeration Date
- Feb 13, 2008
- Last Updated
- Mar 12, 2013
Practice Location
- Address
- 6520 E RENO
- Address 2
- SUITE A
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-2109
- Phone
- (405) 733-0120
Authorized Official
- Name
- MRS. DAVONDRA LOVE OWENS
- Title
- CFO
- Phone
- (405) 733-0120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Legal Medicine |
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