Individual
DR. GUSTAVO ERNESTO RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAP
Contact information
Practice address
120 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 353-1351
Mailing address
127 TWEED DR, JACKSONVILLE, NC 28540-4591
(910) 687-0364
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07719500
NJ
208000000X
Pediatrics Physician
Primary
—
NC
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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