Organization
SPECTRUM HEALTHCARE SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CLARK (COO)
(405) 768-5749
Entity
Organization
Contact information
Practice address
4220 N CLASSEN BLVD STE A, OKLAHOMA CITY, OK 73118-2434
(405) 769-5749
(405) 493-8506
Mailing address
PO BOX 6276, NORMAN, OK 73070-6276
(405) 768-5749
(405) 493-8506
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
26716
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY CODE
OK
Enumeration date
08/17/2016
Last updated
02/18/2025
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