Provider Demographics
NPI:1023064318
Name:RECIO, PATRICK JOHN (DO)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:JOHN
Last Name:RECIO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1 LECOM PL
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-2571
Mailing Address - Country:US
Mailing Address - Phone:814-868-2529
Mailing Address - Fax:814-868-2522
Practice Address - Street 1:2010 W 38TH ST UPPR LEVEL
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2004
Practice Address - Country:US
Practice Address - Phone:814-866-6835
Practice Address - Fax:814-866-6837
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-08-28
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Provider Licenses
StateLicense IDTaxonomies
PAOS013283208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I57814Medicare UPIN