| Spectrum My Way LLC | |
|
3351 Santa Rosa Ct Norman OK 73071-5078 | |
| (405) 204-2065 | |
| Not Available |
| Full Name | Spectrum My Way LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3351 Santa Rosa Ct, Norman, Oklahoma |
| Authorized Official Name and Position | Joshua Vanover (OWNER) |
| Authorized Official Contact | 4052042065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum My Way LLC 3351 Santa Rosa Ct Norman OK 73071-5078 | Spectrum My Way LLC 3351 Santa Rosa Ct Norman OK 73071-5078 Ph: (405) 204-2065 |
| NPI Number | 1013628684 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013628684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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