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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD D. DIBACCO, DPM

Active Sole Proprietor

DR. RICHARD D. DIBACCO, DPM is a Foot Surgery Podiatrist healthcare provider located in ERIE, Pennsylvania. NPI 1609849934 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · ERIE, PA

Registration Details

NPI Number
1609849934
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2006 (20.540514324783 yrs)
Last Updated
Jun 30, 2010
Licenses
SC001282L (PA)
SC001282L (PA)
SC001282L (PA)
SC001282L (PA)
Sole Proprietor
Yes

Practice Information

Address
4402 PEACH ST
ERIE, PA, 165091358
Browse PA providers · Browse ZIP 16509
Phone
8148644874
Fax
8148644877
Primary Specialty
Foot Surgery Podiatrist
213ES0131X
Additional Specialty
Radiology Podiatrist
Additional Specialty
Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.