EVE L KOSTELECKY

Dr EVE L KOSTELECKY is a female medical professional, specializing in Optometry. She graduated in 2007 from Southern California College Of Optometry.

Contact

306 W MAIN ST
MANDAN
ND
585543144

Tel:

EVE L KOSTELECKY Information

Npi 1578755757
Pac Id 4385732775
Professional Enrollment Id I20071119000424
Last Name KOSTELECKY
First Name EVE
Middle Name L
Suffix
Gender F
Credential
Medical School Name SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year 2007
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 306 W MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MANDAN
State ND
Zip Code 585543144
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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