Individual ProviderRodney RiggsPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address125 E Idaho St, Suite 303, Boise, ID 83712-6212(208) 344-5757(208) 452-6794PECOS EnrollmentBased on the most recent information from CMS, provider Rodney Riggs does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1942256953Provider TypeIndividualFull NameRiggs, RodneyCredentialPAGenderMaleSole ProprietorNoEnumeration Date5/25/2006Last Updated10/23/2007Contact InformationPractice LocationPractice Address125 E Idaho St, Suite 303, Boise, ID 83712-6212Phone(208) 344-5757Fax(208) 344-7660Mailing LocationMailing Address125 E Idaho St Ste 303, Boise, ID 83712-6256Phone(208) 452-6794FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA259Idaho