person
Mr. Richard Charles Treadway SR., PA-C
Medical Physician Assistant in Grand Island, Nebraska
NPI 1033210257

Richard Charles Treadway SR. is a Medical Physician Assistant based in Osceola, NE and is specialized in Medical. Richard Charles Treadway SR. practices in Grand Island, NE and has the professional credentials of PA-C. The NPI Number for Richard Charles Treadway SR. is 1033210257 and holds a License No. 131 (Nebraska).

The current practice location address for Richard Charles Treadway SR. is 2201 N Broadwell Ave, Grand Island, NE and can be reached out via phone at 308-382-3660.

Location: 2201 N Broadwell Ave, Grand Island, NE, 68651-5519
person
Provider Profile Details
NPI Number
1033210257
Provider Name
Richard Charles Treadway SR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2201 N Broadwell Ave, Grand Island, NE, 68651-5519
Phone Number
308-382-3660
Fax Number
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131 01 NE STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2201 N Broadwell Ave
City
State
Zip
68803-2153
Phone Number
308-382-3660
Fax Number
person
Provider Business Mailing Address Details
Address
2201 N Broadwell Ave
City
State
Zip
68803-2153
Phone Number
308-382-3660
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
131 (Nebraska)
Definition
Definition to come...
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