Individual
DR. JOHN BOWEN EASTLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431
(253) 968-3760
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431
(253) 968-3760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60970317
WA
Other
Enumeration date
10/23/2005
Last updated
01/21/2021
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