person
Dr. Richard D. Dibacco, DPM
Foot Surgery Podiatrist in Erie, Pennsylvania
NPI 1609849934

Richard D. Dibacco is a Foot Surgery Podiatrist based in Erie, PA and is specialized in Foot Surgery. Richard D. Dibacco practices in Erie, PA and has the professional credentials of DPM. The NPI Number for Richard D. Dibacco is 1609849934 and holds a License No. SC001282L (Pennsylvania).

The current practice location address for Richard D. Dibacco is 4402 Peach St, Erie, PA and can be reached out via phone at 814-864-4874 and via fax at 814-864-4877.

Location: 4402 Peach St, Erie, PA, 16509-1358
person
Provider Profile Details
NPI Number
1609849934
Provider Name
Richard D. Dibacco
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4402 Peach St, Erie, PA, 16509-1358
Phone Number
814-864-4874
Fax Number
814-864-4877
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000501005-0001 05 PA
institution
Provider Business Practice Location Address Details
Address
4402 Peach St
City
State
Zip
16509-1358
Phone Number
814-864-4874
Fax Number
814-864-4877
person
Provider Business Mailing Address Details
Address
4402 Peach St
City
State
Zip
16509-1358
Phone Number
814-864-4874
Fax Number
814-864-4877
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
SC001282L (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
License No.
SC001282L (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
SC001282L (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
SC001282L (Pennsylvania)
Definition
Definition to come...
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