IndividualActive
Richard Radnovich, DO
NPI 1407944655 · Sports Medicine (Family Medicine) Physician · Boise, ID
Provider details
- NPI number
- 1407944655
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O-259 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4850 N Rosepoint Way
Ste 100
Boise, ID 83713
Phone: (208) 939-2100
Approximate (ZIP-level) locationGet directions
Mailing address
4850 N Rosepoint Way
Boise, ID 83713
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2019-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.