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Organization
JOHN D POLANSKY MD PC
Active
Organization
JOHN D POLANSKY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE J YOW (FRONT OFFICE LEAD)
(541) 683-3744
Entity
Organization
Contact information
Practice address
2460 WILLAMETTE STREET, EUGENE, OR 97405
(541) 683-3744
(541) 683-6672
Mailing address
2460 WILLAMETTE STREET, EUGENE, OR 97405
(541) 683-3744
(541) 683-6672
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006379
—
OR
01
—
009139000
REGENCE BLUE CROSS
OR
01
—
DG2806
RAILROAD MEDICARE
OR
01
—
R0000BHFRC
MEDICARE
OR
Enumeration date
11/15/2006
Last updated
03/29/2011
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