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Individual

PHILIP M CAHOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 N DIERS AVE, STE 200, GRAND ISLAND, NE 68803-4984
(308) 384-5400
(308) 384-5201
Mailing address
620 N DIERS AVE, STE 200, GRAND ISLAND, NE 68803-4984
(308) 384-5400
(308) 384-5201

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
108873
MO
207X00000X
Orthopaedic Surgery Physician
Primary
20134
NE
207X00000X
Orthopaedic Surgery Physician
32266-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31161
BC/BS
NE
05
47054564512
NE
Enumeration date
05/28/2005
Last updated
10/02/2007
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