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Organization
NICHOLAS L. RICO, M.D., P.C.
Active
Organization
NICHOLAS L. RICO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS L. RICO M.D. (PRESIDENT AND CEO)
(260) 483-4260
Entity
Organization
Contact information
Practice address
3303 TRIER RD STE 1, FORT WAYNE, IN 46815-4768
(260) 483-4260
(260) 483-6066
Mailing address
3303 TRIER RD STE 1, FORT WAYNE, IN 46815-4768
(260) 483-4260
(260) 483-6066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031164A
IN
Other
Enumeration date
10/26/2006
Last updated
12/08/2009
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