Organization
RICHARD T MEREDICK DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD T MEREDICK DPM (OWNER)
(570) 342-4009
Entity
Organization
Contact information
Practice address
201 N MAIN AVE, SCRANTON, PA 18504-3303
(570) 342-4009
(570) 342-4326
Mailing address
201 N MAIN AVE, SCRANTON, PA 18504-3303
(570) 342-4009
(570) 342-4326
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001634L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005056950001
—
PA
01
—
072412
FIRST PRIORITY
PA
01
—
10508
GEISINGER
PA
01
—
4083187
AETNA
PA
01
—
480033867
PALMETTO GBA
PA
Enumeration date
01/03/2006
Last updated
09/02/2008
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