# RICHARD L. MICCO, D.P.M.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134302946
- **Authorized official:** RICHARD L MICCO (PRESIDENT)
- **Authorized official phone:** (724) 658-8589

## Contact information

- **Practice address:** 1612 W STATE ST \# PA, NEW CASTLE, PA 16101-1246
- **Practice address phone:** (724) 658-8589
- **Practice address fax:** (724) 658-8978
- **Mailing address:** 1612 W STATE ST \# PA, NEW CASTLE, PA 16101-1246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC002758L | PA | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 12/14/2007