MEDICARE: RICHARD A. DELLINGER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	167	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00035400	OTHER	AR	RAILROAD MEDICARE
2	DA2254	OTHER	AR	RAILROAD MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407814940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A. DELLINGER DPM

Provider Business Mailing Address
First Line	:	4200 N RODNEY PARHAM RD STE 100
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-2458
Country	:	US
Telephone Number	:	501-534-8888
Fax Number	:	501-534-8891

Provider Business Practice Location Address
First Line	:	10018 WEST MARKHAM
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-2130
Country	:	US
Telephone Number	:	501-534-8888
Fax Number	:	501-534-8891

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/26/2011

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Directions to “ RICHARD A. DELLINGER DPM” Practice Location

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