Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1181 | MT |
N | 111NR0200X | Radiology | 1181 | MT |
N | 213ER0200X | Radiology | 1181 | MT |
N | 111NS0005X | Chiropractic Sports Physician | 1181 | MT |
NPI | 1114195310 |
---|---|
Provider Name | Dr. Reese Russell Riggin |
First Address | Great Falls, MT 59404-4141 |
Second Address | Great Falls, MT 59404-4141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2008 |
Last Update Date | 14/02/2008 |