Individual provider · Type 1 NPI

Richard Charles Treadway Sr., PA-C

Medical Physician Assistant · Grand Island, NE

NPI number 1033210257 Active

Practice location

2201 N Broadwell Ave, Nwivahcs
Grand Island, NE 68803-2153

Mailing address

531 Mickey St, PO Box 135
Osceola, NE 68651-5519

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X131 (NE)

Medical Physician Assistant: Definition to come...

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About NPI 1033210257

Richard Charles Treadway Sr., PA-C's National Provider Identifier is 1033210257, issued on Sep 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Island, NE. The record was last updated on Jul 8, 2007.