# DR. RICHARD R. RECKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356365761
- **Gender:** Man
- **Credential:** DPM, PA

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 03/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08139 | BCBS | NC |
| 01 | — | 5400810001 | MEDICARE DME | — |
| 05 | — | 7908139 | — | NC |
| 01 | — | DD0367 | RAILROAD M'CARE | NC |