MR. Richard Charles Treadway SR., PA-C
NPI #1033210257 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1033210257
- Entity Type
- Individual
- Name
- MR. Richard Charles Treadway SR., PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2201 N BROADWELL AVE
- Address 2
- NWIVAHCS
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-2153
- Phone
- (308) 382-3660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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