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NPI 1508851635

NPI 1508851635 : DWIGHT A RIGBY MD : OGDEN, UT

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General NPI Number Information
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    NPI Number           |    1508851635
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    Entity Type          |    Individual 
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    Provider Name        |    DWIGHT A RIGBY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/14/2005
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    Last Update Date     |    03/07/2011
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Provider Practice Location Address
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    Address Line         |    4403 HARRISON BLVD STE 3400
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    City                 |    OGDEN
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    State                |    UT
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    Zip                  |    84403-3271
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    Country              |    US
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    Telephone            |    801-387-3400
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    Fax                  |    801-387-3420
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Provider Business Mailing Address
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    Address Line         |    PO BOX 27128 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84127-0128
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    Country              |    US
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    Telephone            |    801-387-3400
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    Fax                  |    801-387-3420
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    165314-1205
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    License Number State |    UT
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