Provider Demographics
NPI:1285757393
Name:RIGBERG, HERBERT SAUL (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:SAUL
Last Name:RIGBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3731 E MISSION LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-5000
Mailing Address - Country:US
Mailing Address - Phone:602-569-0929
Mailing Address - Fax:
Practice Address - Street 1:3731 E MISSION LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-5000
Practice Address - Country:US
Practice Address - Phone:602-569-0929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9383171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor