Individual
PHYLLIS SALYARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
606 N MINNESOTA AVE, SUITE A, HASTINGS, NE 68901-5256
(402) 463-6781
(402) 463-7056
Mailing address
606 N MINNESOTA AVE, SUITE A, HASTINGS, NE 68901-5256
(402) 463-6781
(402) 463-7056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13573
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055106500
—
NE
01
—
7394
BLUE CROSS BLUE SHIELD
NE
Enumeration date
06/17/2006
Last updated
03/08/2010
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