Eastlake Health Care, Inc.

NPI #1497070262 in Moore, Oklahoma

Provider Information

NPI Number: 1497070262
Entity Type: Organization
Organization Name: Eastlake Health Care, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Apr 5, 2010
Last Updated: Apr 27, 2011

Practice Location

Address: 1000 SW 4TH ST
City: Moore
State: Oklahoma
ZIP Code: 73160-2405
Phone: (405) 692-8400

Authorized Official

Name: DR. DAVID ALAN GOAT, D.C.
Title: PRESIDENT/OWNER
Phone: (405) 692-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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