Doctor Name: | DR. RADMILA SAMARDZIJA |
NPI Number: | 1053557199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 135000654 |
Business Practice Address: | 1050 S Outer Rd Suite 100 Blue Springs, MO - 640153071 |
Business Phone Number: | 8162289393 |
Business Fax Number: | 8162285462 |
Mailing Address: | 1050 S Outer Rd, BLUE SPRINGS |
State: | MO |
Postal Code: | 640153071 |
Phone Number: | 8162289393 |
Fax Number: | 8162285462 |
NPI Enumeration Date: | 12/19/2008 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 135000654 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |