| NPI | 1134302946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L MICCO President 724-658-8589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC002758L) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |