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Individual
WILLIAM A ROUGHEAD JR.
Active
Individual
WILLIAM A ROUGHEAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2466
NE
Other
Enumeration date
03/13/2020
Last updated
12/31/2020
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