Goodspine Plc

NPI #1124308952 in Collinsville, Oklahoma

Provider Information

NPI Number: 1124308952
Entity Type: Organization
Organization Name: Goodspine Plc
Primary Specialty: Clinic/Center
Enumeration Date: Aug 24, 2011
Last Updated: Oct 30, 2014

Practice Location

Address: 111 S 11TH ST
City: Collinsville
State: Oklahoma
ZIP Code: 74021-3128
Phone: (991) 837-1284

Authorized Official

Name: JAKE W LANDRETH, DC
Title: OWNER
Phone: (918) 521-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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