Individual
PAUL K. TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 N PECOS RD, HENDERSON, NV 89074-7319
(702) 990-4767
(702) 990-4766
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
7659
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018796
—
NV
01
—
P400039093
MEDICARE - LKO
KY
05
—
XPY201558
—
CA
Enumeration date
03/15/2006
Last updated
10/17/2017
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