Organization
INJURY CARE EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD RADNOVICH D.O. (PARTNER)
(208) 939-2100
Entity
Organization
Contact information
Practice address
4850 N ROSEPOINT WAY, STE 100, BOISE, ID 83713-5262
(208) 939-2100
(208) 939-4411
Mailing address
4850 N ROSEPOINT WAY, STE 100, BOISE, ID 83713-5262
(208) 939-2100
(208) 939-4411
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
10/28/2019
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