Individual
ALICIA K CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 US-6, GRETNA, NE 68028
(402) 751-0600
Mailing address
306 W 2ND ST, HASTINGS, NE 68901-7532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
106294
IA
363A00000X
Physician Assistant
Primary
2550
NE
Other
Enumeration date
09/18/2019
Last updated
02/13/2023
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