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Contact Information

RICHARD RADNOVICH, DO
4850 N ROSEPOINT WAY
STE 100
BOISE, ID83713
 Phone: 208-939-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for RICHARD RADNOVICH · (Male)

NPI Number 1407944655
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/11/2006
Last updated 10/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # O-259
  • ID Medicaid 806047900
Hospital affiliation(s) Not Available
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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