Provider Demographics
NPI:1750560363
Name:RYGIELS RENAISSANCE IN WOMENS HEALTHCARE
Entity type:Organization
Organization Name:RYGIELS RENAISSANCE IN WOMENS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:RYGIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PRACTICE MANAGER
Authorized Official - Phone:719-282-4066
Mailing Address - Street 1:8890 NORTH UNION BLVD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920
Mailing Address - Country:US
Mailing Address - Phone:719-282-4066
Mailing Address - Fax:719-282-4067
Practice Address - Street 1:8890 NORTH UNION BLVD
Practice Address - Street 2:SUITE 175
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-282-4066
Practice Address - Fax:719-282-4067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41422207VH0002X
CO37301207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative MedicineGroup - Multi-Specialty