Provider Demographics
NPI:1407623945
Name:RIGGS BAILEY ROBERTS MD, INC.
Entity Type:Organization
Organization Name:RIGGS BAILEY ROBERTS MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIGGS
Authorized Official - Middle Name:B ROBERTS MD
Authorized Official - Last Name:INC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-242-9233
Mailing Address - Street 1:1883 MILL ST STE B
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1236
Mailing Address - Country:US
Mailing Address - Phone:808-242-9233
Mailing Address - Fax:
Practice Address - Street 1:1883 MILL ST STE B
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1236
Practice Address - Country:US
Practice Address - Phone:808-242-9233
Practice Address - Fax:808-249-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty