Individual
DR. PHILLIP R HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 EIGER DR, LINCOLN, NE 68516-6537
(402) 904-7135
(402) 904-7175
Mailing address
PO BOX 6951, LINCOLN, NE 68506-0951
(402) 904-7135
(402) 904-7175
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
17831
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06433
BCBS OF NE
NE
01
—
236134
COVENTRY HEALTH CARE
—
01
—
77063443668510A003
TRI WEST
—
01
—
P00226772
RAILROAD MEDICARE
NE
Enumeration date
07/13/2006
Last updated
05/01/2023
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