NPI 1639582620

Dane Douglas Dicaro, DO

Practitioner General Practice Physician Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave STE 1d03, Fort Stewart, GA 31314-5641
Phone: (912) 435-5965

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 75053 (GA)

Other General Practice providers in Georgia →

Military Health Care Provider

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1639582620
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2014
Record last updated: 30 Nov 2021

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.