Organization
GOODSPINE PLC
Active
Other names
Jake W. Landreth, DC
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE W LANDRETH DC (OWNER)
(918) 521-8888
Entity
Organization
Contact information
Practice address
111 S 11TH ST, COLLINSVILLE, OK 74021-3128
(991) 837-1284
(918) 553-8802
Mailing address
PO BOX 877, SKIATOOK, OK 74070-0877
(918) 371-2848
(918) 553-8802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4002
OK
Other
Enumeration date
08/24/2011
Last updated
10/30/2014
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