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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice |
| NPI # | 1821267832 |
| LBN Legal business name | EASTLAKE MEDICAL CENTER |
| Authorized official | BIANCA DOOLEY - (PRESIDENT CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/23/2008 |
| Last updated | 02/23/2008 - About 18 years ago |
| Identifiers | n/a |
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EASTLAKE MEDICAL CENTER
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EASTLAKE MEDICAL CENTER