Russell D. Radican in Memphis - Sports Physician
Russell D. Radican - NPI 1528172368
Russell D. Radican is a Sports Physician in Memphis, Tennessee. Russell D. Radican practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Russell D. Radican is 1528172368. The last update date is 2007-07-08.
Russell D. Radican's current location address is 6100 Primacy Pkwy, Memphis, Tennessee. You can contact this provider via phone number 9016825335 and fax number 9016825440. The mailing address for Russell D. Radican is 6100 Primacy Pkwy, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell D. Radican |
|---|---|
| Address | 6100 Primacy Pkwy, Memphis, Tennessee |
| Phone Number | 9016825335 |
| Fax Number | 9016825440 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1528172368 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6100 Primacy Pkwy |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381190705 |
| Phone Number | 9016825335 |
| Fax Number | 9016825440 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC1171 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61387800-03 | TN | CIGNA | |
| 5829049 | TN | AETNA HMO | |
| 61387800-04 | TN | CIGNA HMO | |
| 3009201 | TN | BLUECROSSBLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Russell D. Radican by the Centers for Medicare & Medicaid Services?
The Russell D. Radican has been issued the NPI (National Provider Identifier) 1528172368, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Russell D. Radican is geographically located?
The Russell D. Radican is physically situated at the following location: 6100 Primacy Pkwy, Memphis, TN, 381190705.
What is Russell D. Radican's specialized field of practice, and what is the corresponding taxonomy classification code?
The Russell D. Radican's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did Russell D. Radican receive its 1528172368 assignment from the Centers for Medicare & Medicaid Services?
The Russell D. Radican was assigned its 1528172368 on 2006-08-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Russell D. Radican, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Russell D. Radican, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.