William C Ta Mdspectrum Medical & Wellness Center
NPI #1437404142 in Victorville, California
Provider Information
- NPI Number
- 1437404142
- Entity Type
- Organization
- Organization Name
- William C Ta Mdspectrum Medical & Wellness Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 18, 2012
- Last Updated
- Jul 18, 2012
Practice Location
- Address
- 15095 AMARGOSA RD
- Address 2
- BLDG 2, STE 280
- City
- Victorville
- State
- California
- ZIP Code
- 92394-1879
- Phone
- (760) 952-9100
Authorized Official
- Name
- DR. ONYENKWERE O OKWANDU, PH.D.
- Title
- OFFICE MANAGER
- Phone
- (760) 246-9555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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