MEDICARE: DR. ROBBE T RIGBY DPM

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	213E00000X	Podiatrist	102264-0501	UT

General Provider Information

NPI Number	:	1689778771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBBE T RIGBY DPM

Provider Business Mailing Address
First Line	:	2435 S HIGHLAND DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106
Country	:	US
Telephone Number	:	801-466-8639
Fax Number	:

Provider Business Practice Location Address
First Line	:	2435 S HIGHLAND DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106
Country	:	US
Telephone Number	:	801-466-8639
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	07/08/2007

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