Organization
RICHARD L. MICCO, D.P.M.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L MICCO (PRESIDENT)
(724) 658-8589
Entity
Organization
Contact information
Practice address
1612 W STATE ST # PA, NEW CASTLE, PA 16101-1246
(724) 658-8589
(724) 658-8978
Mailing address
1612 W STATE ST # PA, NEW CASTLE, PA 16101-1246
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002758L
PA
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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