Individual
JOHN J PALOUCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
211 N SPRUCE ST, OGALLALA, NE 69153-2552
(308) 284-4394
(308) 284-4123
Mailing address
211 N SPRUCE ST, PO BOX 568, OGALLALA, NE 69153-2552
(308) 284-4384
(308) 284-4123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1039
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065808300
—
NE
Enumeration date
09/27/2005
Last updated
03/09/2011
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