NPI 1083751507

Dwight Robert Ricketts, DPM

Practitioner Podiatrist Washington, DC

Practice location

Address: 7826 Eastern Ave NW Suite 209, Washington, DC 20012-1324
Phone: (202) 722-2997
Fax: (202) 722-2997

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P0298 (DC)

Other Podiatrist providers in District of Columbia →

Registry record

NPI: 1083751507
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.