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General NPI Number Information
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NPI Number | 1356505259
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Entity Type | Individual
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Provider Name | RYAN BRUCE RIGBY DPM
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Gender | Male
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 1300 N 500 E STE 130 LOGAN REGIONAL ORTHOPEDICS
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City | LOGAN
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State | UT
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Zip | 84341-2466
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Country | US
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Telephone | 435-716-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N 500 E STE 130 LOGAN REGIONAL ORTHOPEDICS
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City | LOGAN
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State | UT
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Zip | 84341-2466
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Country | US
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Telephone | 435-716-2800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002293
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO 3497
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 8302115-0501
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License Number State | UT
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