NPI 1386812345

Spectra Family Medical Clinic LLC

Organisation Legal Medicine Midwest City, OK

Practice location

Address: 6520 E Reno Suite a, Midwest City, OK 73110-2109
Phone: (405) 733-0120
Fax: (405) 733-7876
Mailing address: PO Box 223, Spencer, OK 73084-0223

Authorised official

Name: Davondra Love Owens
Title: Cfo
Phone: (405) 733-0120

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 8459 (OK)

Other Legal Medicine providers in Oklahoma →

Registry record

NPI: 1386812345
Entity type: Organization
NPI issued: 13 Feb 2008
Record last updated: 12 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.