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Contact Information

NICHOLAS D RADOVICH, MD
800 S 3RD ST
MONTROSE, CO81401-4212
 Phone: 970-240-7220
 Fax: 970-497-8410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for NICHOLAS D RADOVICH · (Male)

NPI Number 1093744179
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2006
Last updated 06/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 43950
  • CO Medicaid 44385331
  • CO Other P00374067 RAILROAD MEDICARE
Hospital affiliation(s)
  • DELTA COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1501 E 3RD STREET
    DELTA, CO 81416
  • MONTROSE MEMORIAL HOSPITAL - (Acute Care)
    800 S 3RD ST
    MONTROSE, CO 81401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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