Provider Demographics
NPI:1356505259
Name:RIGBY, RYAN BRUCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:BRUCE
Last Name:RIGBY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 N 500 E STE 130
Mailing Address - Street 2:LOGAN REGIONAL ORTHOPEDICS
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-2466
Mailing Address - Country:US
Mailing Address - Phone:435-716-2800
Mailing Address - Fax:
Practice Address - Street 1:1300 N 500 E STE 130
Practice Address - Street 2:LOGAN REGIONAL ORTHOPEDICS
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-2466
Practice Address - Country:US
Practice Address - Phone:435-716-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002293213ES0103X
FLPO 3497213ES0103X
UT8302115-0501213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery