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NPI Code Detail

MEDICARE: MR. ALLAN R RIGGS M.S., P.A.-C

MEDICARE:  MR. ALLAN R RIGGS  M.S., P.A.-C
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
1363AM0700XMedical Physician Assistant5601002317MI

General Provider Information

NPI Number : 1023075215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALLAN R RIGGS M.S., P.A.-C
Provider Business Mailing Address
First Line : 600 EAST PRESTON STREET
Second Line : CMU HEALTH SERVICES, FOUST 235
City : MT PLEASANT
State : MI
Zip : 48859-0001
Country : US
Telephone Number : 989-774-6584
Fax Number : 989-774-4335
Provider Business Practice Location Address
First Line : 600 EAST PRESTON
Second Line : CMU HEALTH SERVICES, FOUST HALL 108
City : MT PLEASANT
State : MI
Zip : 48859-0001
Country : US
Telephone Number : 989-774-1748
Fax Number : 989-774-4335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 07/29/2015

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Directions to “ MR. ALLAN R RIGGS M.S., P.A.-C” Practice Location

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