DR. Dwight Robert Ricketts, D.P.M.

NPI #1083751507 in Washington, District of Columbia

Provider Information

NPI Number: 1083751507
Entity Type: Individual
Name: DR. Dwight Robert Ricketts, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Jan 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7826 EASTERN AVE NW
Address 2: SUITE 209
City: Washington
State: District of Columbia
ZIP Code: 20012-1324
Phone: (202) 722-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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