Individual provider · Type 1 NPI
Philip A. Maynard, D.P.M.
Foot Surgery Podiatrist · Hastings, NE
NPI number
1619970381
Active
Practice location
416 N Minnesota Ave
Hastings, NE 68901-5254
Fax (402) 462-4783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 159 (NE) |
| Podiatrist | 213E00000X | 159 (NE) |
| Foot Surgery Podiatrist | 213ES0131X | 00365 (IA) |
| Podiatrist | 213E00000X | 00365 (IA) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1619970381
Philip A. Maynard, D.P.M.'s National Provider Identifier is 1619970381, issued on May 24, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Hastings, NE. The record was last updated on Jan 2, 2013.