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NPI Code Detail

MEDICARE: MARK LAWRENCE RIGLER MD

MEDICARE: MARK LAWRENCE RIGLER MD
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
1207L00000XAnesthesiology PhysicianG53267CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013968171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK LAWRENCE RIGLER MD
Provider Business Mailing Address
First Line : PO BOX 49168
Second Line :
City : SAN JOSE
State : CA
Zip : 95161-9168
Country : US
Telephone Number : 503-372-2740
Fax Number : 503-372-2754
Provider Business Practice Location Address
First Line : 1555 SOQUEL DR
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95065-1705
Country : US
Telephone Number : 831-462-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 04/07/2011

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