Individual
WILLIAM A ROUGHEAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2727 S 144TH ST STE 240, OMAHA, NE 68144-5201
(402) 609-1200
(402) 609-1220
Mailing address
2727 S 144TH ST STE 240, OMAHA, NE 68144-5201
(402) 609-1200
(402) 609-1220
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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