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Individual

JOSE RIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21070
AZ
207VX0000X
Obstetrics Physician
Primary
21079
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138950
AZ
01
21079
AZ MEDICAL BOARD
AZ
Enumeration date
01/30/2006
Last updated
09/13/2021
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