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Organization
EAGLE CAP CLINIC INC PC
Active
Organization
EAGLE CAP CLINIC INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY A ALANKO MD (OWNER)
(541) 523-4497
Entity
Organization
Contact information
Practice address
3705 MIDWAY DR, BAKER CITY, OR 97814
(541) 523-4497
(541) 523-5471
Mailing address
PO BOX 69, BAKER CITY, OR 97814
(541) 523-4497
(541) 523-5471
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175828
—
OR
05
—
287777
—
OR
Enumeration date
10/23/2006
Last updated
11/13/2012
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