Individual
ROBERT A RADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 350-6071
Mailing address
PO BOX 7704, LOVELAND, CO 80537-0704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13559524
—
CO
01
—
P00065977
RAILROAD MEDICARE
CO
Enumeration date
06/13/2006
Last updated
10/04/2007
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