person
Philip B Sextro, DPM
Foot & Ankle Surgery Podiatrist in Grand Island, Nebraska
NPI 1851394738

Philip B Sextro is a Foot & Ankle Surgery Podiatrist based in Grand Island, NE and is specialized in Foot & Ankle Surgery. Philip B Sextro practices in Grand Island, NE and has the professional credentials of DPM. The NPI Number for Philip B Sextro is 1851394738 and holds a License No. 135 (Nebraska).

The current practice location address for Philip B Sextro is 620 Diers Ave, Grand Island, NE and can be reached out via phone at 308-381-0404 and via fax at 308-381-0408. You can also correspond with Philip B Sextro through the mailing address at 620 DIERS AVE, GRAND ISLAND, NE - 68802-5020 (mailing address contact number: 308-381-0404).

Location: 620 Diers Ave, Grand Island, NE, 68802-5020
person
Provider Profile Details
NPI Number
1851394738
Provider Name
Philip B Sextro
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
620 Diers Ave, Grand Island, NE, 68802-5020
Phone Number
308-381-0404
Fax Number
308-381-0408
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02549 01 NE BLUE CROSS BLUE SHIELD
0152470001 01 NE DMERC CIGNA
47062497913 05 NE
280175 01 NE MEDICARE
470624949 01 NE CHAMPUS
480021804 01 NE RAILROAD MEDICARE
0152470001 01 NE CIGNA
institution
Provider Business Practice Location Address Details
Address
620 Diers Ave
City
State
Zip
68802-5020
Phone Number
308-381-0404
Fax Number
308-381-0408
person
Provider Business Mailing Address Details
Address
620 Diers Ave
City
State
Zip
68802-5020
Phone Number
308-381-0404
Fax Number
308-381-0408
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
135 (Nebraska)
Definition
Definition to come...
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