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NPI Code Detail

MEDICARE: ROSA J. RIOS

MEDICARE: ROSA J. RIOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital2624OK

General Provider Information

NPI Number : 1902263569
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSA J. RIOS
Provider Business Mailing Address
First Line : 410 SW 38TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-6904
Country : US
Telephone Number : 405-570-1344
Fax Number :
Provider Business Practice Location Address
First Line : 410 SW 38TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-6904
Country : US
Telephone Number : 405-570-1344
Fax Number :
Authorized Official
Title or Position : PHYSICIAN ASSISTANT
Name : MS. ROSA JAEL RIOS
Credential : PA-C
Telephone Number : 405-570-1344
Provider Enumeration Date : 01/26/2016
Last Update Date : 01/26/2016

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Directions to “ROSA J. RIOS ” Practice Location

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