Eagle Cap Clinic Inc Pc

NPI 1356424451 - General Practice - 208D00000X

NPI Details
NPI 1356424451
Enumeration Date 10/23/2006
Last Updated 11/13/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDY A RANDY
Position OWNER
Phone (541) 523-4497
Fax (541) 523-5471
Practice Location
3705 MIDWAY DR
BAKER CITY OR, 97814, US
Phone (541) 523-4497
Fax (541) 523-5471
Business Location
PO BOX 69
BAKER CITY OR, 97814, US
Phone (541) 523-4497
Fax (541) 523-5471
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Eagle Cap Clinic Inc Pc NPI is 1356424451, taxonomy code is 208D00000X Eagle Cap Clinic Inc Pc physically located at 3705 Midway Dr, Baker City OR, 97814. NPI Number 1033115704 has the healthcare provider type.

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1356424451 NPI number is provided on an as is basis without warranty of any kind. 1356424451 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Cap Clinic Inc Pc are for informational purposes only.