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Organization

EASTLAKE HEALTH CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID ALAN GOAT D.C. (PRESIDENT/OWNER)
(405) 692-8400
Entity
Organization

Contact information

Practice address
1000 SW 4TH ST, MOORE, OK 73160-2405
(405) 692-8400
(405) 692-8401
Mailing address
625 CYPRESS DRIVE, OKLAHOMA CITY, OK 73170-6836
(405) 201-7284

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
04/05/2010
Last updated
04/27/2011
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