MEDICARE: MRS. PATRICIA RUGGERI-WEIGEL M.D., F.A.C.P.

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	207RI0200X	Infectious Disease Physician	25MA04895200	NJ
2	207RI0200X	Infectious Disease Physician	13549755-1235	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	701400	OTHER	AETNA - NONPAR
2	P2161436	OTHER	OXFORD - NONPAR
3	F06237	OTHER	HEALTH NET
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0311317000	OTHER	AMERIHEALTH
6	91000330700	OTHER	AMERICHOICE
7	0964894	OTHER	CIGNA

General Provider Information

NPI Number	:	1366404527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA RUGGERI-WEIGEL M.D., F.A.C.P.

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5171 S COTTONWOOD ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-5704
Country	:	US
Telephone Number	:	801-507-7781
Fax Number	:

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	03/26/2024

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