Individual
DR. GADDIEL DAVID RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 FOUNDERS PARK DR STE C, RAPID CITY, SD 57701-8098
(605) 307-0342
Mailing address
211 FOUNDERS PARK DR STE C, RAPID CITY, SD 57701-8098
(605) 307-0342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01051979A
IN
207Q00000X
Family Medicine Physician
17026
SD
207Q00000X
Family Medicine Physician
Primary
M2460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17026
MEDICAL LICENSE
SD
01
—
M2460
MEDICAL LICENSE
TX
Enumeration date
11/09/2005
Last updated
05/21/2025
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