Organization
PHILIP A MAYNARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A MAYNARD DPM (OWNER)
(402) 462-2788
Entity
Organization
Contact information
Practice address
416 N MINNESOTA AVE, HASTINGS, NE 68901-5254
(402) 462-2788
(402) 462-4783
Mailing address
416 N MINNESOTA AVE, HASTINGS, NE 68901-5254
(402) 462-2788
(402) 462-4783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
159
NE
Other
Enumeration date
10/25/2007
Last updated
01/02/2013
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