Individual
DR. TODD ALLEN EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
80 W 7TH ST, GROVE, OK 74344-3403
(918) 787-6700
(918) 787-2846
Mailing address
80 W 7TH ST, GROVE, OK 74344-3403
(918) 787-6700
(918) 787-2846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3331
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20051200A
—
OK
01
—
P00167123
RAILROAD MEDICARE
OK
Enumeration date
09/12/2006
Last updated
08/26/2014
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