Healthcare Provider Details

I. General information

NPI: 1023544277
Provider Name (Legal Business Name): PAULA RIGGS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 05/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12469 EAST 17TH PLACE BUILDING 400
AURORA CO
80045
US

IV. Provider business mailing address

12469 EAST 17TH AVENUE BLDG 400, MAIL STOP F478
AURORA CO
80045
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-2235
  • Fax:
Mailing address:
  • Phone: 303-724-2235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number31212
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: