Richard Radnovich in Boise - Sports Medicine
Richard Radnovich - NPI 1407944655
Richard Radnovich is a Sports Medicine in Boise, Idaho. Richard Radnovich practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Richard Radnovich is 1407944655. The last update date is 2019-10-28.
Richard Radnovich's current location address is 4850 N Rosepoint Way, Boise, Idaho. You can contact this provider via phone number 2089392100. The mailing address for Richard Radnovich is 4850 N Rosepoint Way, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Radnovich |
|---|---|
| Address | 4850 N Rosepoint Way, Boise, Idaho |
| Phone Number | 2089392100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1407944655 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2019-10-28 |
Provider Mailing Address Detail
| Address | 4850 N Rosepoint Way |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83713 |
| Phone Number | 2089392100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | O-259 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806047900 | ID | -- |
Post Comment/ Review Below
What is the Richard Radnovich's unique identification number?
The Richard Radnovich has been assigned the NPI (National Provider Identifier) Number 1407944655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Richard Radnovich?
The Richard Radnovich is physically situated at 4850 N Rosepoint Way, in the city of Boise, state of ID, with the postal code 83713.
What is Richard Radnovich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard Radnovich is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407944655 to Richard Radnovich?
The Centers for Medicare & Medicaid Services assigned the 1407944655 to Richard Radnovich on 2006-10-11.
As of what date were the Richard Radnovich's details last updated?
The information pertaining to the Richard Radnovich, including its address, specialty, and other details, was most recently updated on 2019-10-28.