Individual
THOMAS R RADICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
PO BOX 72, CORYDON, IN 47112-0072
(270) 798-8500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01049054A
IN
207Q00000X
Family Medicine Physician
01049054A
IN
208M00000X
Hospitalist Physician
01049054A
IN
Other
Enumeration date
12/19/2005
Last updated
08/15/2025
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