Individual
DR. RICHARD R. RECKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, PA
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
01
—
5400810001
MEDICARE DME
—
05
—
7908139
—
NC
01
—
DD0367
RAILROAD M'CARE
NC
Enumeration date
07/27/2006
Last updated
03/07/2013
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