Provider Demographics
NPI:1780634014
Name:MCPHAIL, JOHN ROLLAND (PA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ROLLAND
Last Name:MCPHAIL
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Gender:M
Credentials:PA
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Mailing Address - Street 1:575 S 70TH ST
Mailing Address - Street 2:NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2471
Mailing Address - Country:US
Mailing Address - Phone:402-488-3322
Mailing Address - Fax:402-488-1172
Practice Address - Street 1:575 S 70TH ST
Practice Address - Street 2:NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2471
Practice Address - Country:US
Practice Address - Phone:402-488-3322
Practice Address - Fax:402-488-1172
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2008-09-29
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Provider Licenses
StateLicense IDTaxonomies
NE663363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NES16032Medicare UPIN