| Organization Name: | EAGLE CAP CLINIC INC PC |
| NPI Number: | 1356424451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY A ALANKO (OWNER) |
| Mailing Address: | 3705 Midway Dr Baker City |
| State: | OR US |
| Postal Code: | 97814 |
| Phone Number: | 5415234497 |
| Fax Number: | 5415235471 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 11/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |