Organization
RICHARD R. RECKO D.P.M., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R. RECKO DPM (CEO)
(910) 762-2404
Entity
Organization
Contact information
Practice address
1776 WELLINGTON AVE, SUITE 1, WILMINGTON, NC 28403-6075
(910) 762-2404
(910) 762-4249
Mailing address
1776 WELLINGTON AVE, SUITE 1, WILMINGTON, NC 28403-6075
(910) 762-2404
(910) 762-4249
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08139
BCBS
NC
05
—
7908139
—
NC
01
—
DD0367
RAILROAD MEDICARE
NC
Enumeration date
11/15/2007
Last updated
11/15/2007
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