Basic Information
Provider Information
NPI: 1144456005
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGGS
FirstName: STERLING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 920 SL YOUNG BLVD
Address2: WP 1290
City: OKLAHOMA CITY
State: OK
PostalCode: 731045033
CountryCode: US
TelephoneNumber: 4052715504
FaxNumber:  
Practice Location
Address1: 1701 RENAISSANCE BLVD
Address2:  
City: EDMOND
State: OK
PostalCode: 730133086
CountryCode: US
TelephoneNumber: 4058444978
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2009
LastUpdateDate: 06/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208VP0014X27193OKY Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine

No ID Information.


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