Individual
DR. JOHN PAUL RESLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
855 W CENTRAL ST, COQUILLE, OR 97423-1290
(541) 396-4042
(541) 396-6507
Mailing address
PO BOX 489, COQUILLE, OR 97423-0489
(541) 396-4042
(541) 396-6507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1134ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163337
—
OR
Enumeration date
05/03/2006
Last updated
08/26/2010
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