Individual
DR. F DUANE KOVARIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3404 W. 13TH ST., STE 105, GRAND ISLAND, NE 68803-2392
(308) 382-6928
Mailing address
402 VALLEY VIEW DR., ORD, NE 68862-1651
(308) 728-5778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
840
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47060515300
—
NE
Enumeration date
10/06/2006
Last updated
08/27/2008
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