Individual
DR. DOUGLAS P NOSACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1122 N DOUGLASS ST, MALDEN, MO 63863-1342
(573) 276-3239
Mailing address
1122 N DOUGLASS ST, MALDEN, MO 63863-1342
(573) 276-3239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2011030374
MO
Other
Enumeration date
08/12/2009
Last updated
12/12/2016
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