Basic Information
Provider Information
NPI: 1003004771
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGGLE
FirstName: ERIN
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 15 W. DRY CREEK CIR
Address2:  
City: LITTLETON
State: CO
PostalCode: 80120
CountryCode: US
TelephoneNumber: 3039521100
FaxNumber: 7202873183
Practice Location
Address1: 15 W DRY CREEK CIR
Address2:  
City: LITTLETON
State: CO
PostalCode: 801204427
CountryCode: US
TelephoneNumber: 3039521100
FaxNumber: 7202873183
Other Information
ProviderEnumerationDate: 10/09/2007
LastUpdateDate: 06/27/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XDR.0047930CON193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XDR.0047930CON193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XDR.0047930COY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
4650105305CO MEDICAID


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