Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 1200383 | KS |
N | 213ES0103X | Foot & Ankle Surgery | 135000654 | IL |
N | 213ES0103X | Foot & Ankle Surgery | 2011021447 | MO |
NPI | 1053557199 |
---|---|
Provider Name | Dr. Radmila Samardzija |
First Address | Blue Springs, MO 64015-3071 |
Second Address | Kansas City, KS 66112-1545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2008 |
Last Update Date | 25/07/2019 |