Individual
DR. JASON A RIGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3620
(540) 725-5016
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3620
(540) 725-5016
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102204179
VA
208600000X
Surgery Physician
34.010110
OH
208600000X
Surgery Physician
37678
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000717033
ANTHEM
OH
05
—
3133228
—
OH
01
—
341935236093
CARESOURCE
OH
Enumeration date
06/15/2006
Last updated
07/21/2022
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