MEDICARE: ROBERT TODD RIGGIO MD PC

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
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1508687047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT TODD RIGGIO MD PC

Provider Business Mailing Address
First Line	:	8461 FARM RD STE 120-106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8305
Country	:	US
Telephone Number	:
Fax Number	:	702-256-3307

Provider Business Practice Location Address
First Line	:	3150 N TENAYA WAY STE 525
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0465
Country	:	US
Telephone Number	:	725-204-6520
Fax Number	:	702-441-7023

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT RIGGIO
Credential	:	MD
Telephone Number	:	702-256-3637

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	05/19/2026

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