Individual
ALEX JORDAN RIOS
Active
Individual
ALEX JORDAN RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1366079204
SC
2085R0202X
Diagnostic Radiology Physician
Primary
83120
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
06/03/2024
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