Individual
DALE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 S SAINT JOSEPH AVE, HASTINGS, NE 68901-6144
(402) 469-0734
Mailing address
225 N WEBB RD STE 3, GRAND ISLAND, NE 68803-4041
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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