Provider Demographics
NPI:1336144633
Name:RIGBERG, LEON A (MD)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:A
Last Name:RIGBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5648
Mailing Address - Country:US
Mailing Address - Phone:480-424-7228
Mailing Address - Fax:480-424-7317
Practice Address - Street 1:3501 N SCOTTSDALE RD
Practice Address - Street 2:STE 320
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5650
Practice Address - Country:US
Practice Address - Phone:480-424-7228
Practice Address - Fax:480-424-7317
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ9296207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ21516202Medicaid
AZ626894OtherAETNA
AR860361052OtherCCN
AZ860361025AOtherFIRST HEALTH
AZ860361052OtherPRIVATE HEALTHCARE SYSTEM
AZAZ0047010OtherBLUE CROSS BLUE SHIELD
AZ1Z1836OtherHEALTHNET
AZ4279400OtherCIGNA
AZ860361052OtherARIZONA FOUNDATION MEDICA
AZ215162-002Medicaid
AZ15447OtherUNITED HEALTH CARE
AZ3215162Medicaid
AZ860361052OtherHUMANA
AZ05306OtherPACIFICARE
AZ215162Medicaid
AZ860361052AOtherFIRST HEALTH
AZ10WCGMZ01Medicare ID - Type Unspecified
AZ860361052AOtherFIRST HEALTH
AZ860361052OtherARIZONA FOUNDATION MEDICA