Individual
DR. RICHARD LEE MICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1612 WEST STATE ST, NEW CASTLE, PA 16101
(724) 658-8589
(724) 658-8978
Mailing address
1612 WEST STATE ST, NEW CASTLE, PA 16101
(724) 658-8589
(724) 658-8978
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36002247M
OH
213E00000X
Podiatrist
Primary
SC002758L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0984073
—
PA
Enumeration date
05/03/2006
Last updated
11/08/2007
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