| Doctor Name: | MR. RICHARD CHARLES TREADWAY |
| NPI Number: | 1033210257 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 131 |
| Business Practice Address: | 2201 N Broadwell Ave Nwivahcs Grand Island, NE - 688032153 |
| Business Phone Number: | 3083823660 |
| Business Fax Number: | |
| Mailing Address: | 531 Mickey St, Po Box 135 OSCEOLA |
| State: | NE |
| Postal Code: | 686515519 |
| Phone Number: | 4027478091 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |