Individual
NICHOLAS DANIEL RADOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S 3RD ST, MONTROSE, CO 81401-4212
(970) 240-7220
(970) 497-8410
Mailing address
PO BOX 2085, MONTROSE, CO 81402-2085
(970) 240-2274
(970) 497-8410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
43950
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44385331
—
CO
01
—
P00374067
RAILROAD MEDICARE
CO
Enumeration date
07/01/2006
Last updated
06/10/2019
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