RAUL RIOS

MERIDIAN, ID
NPI1376851725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1211)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: UT  7778571-1206)
363AS0400X Physician Assistant, Surgical
(Licence: UT  7778571-1206)
Enumeration Date2010-09-20
Last Update Date2021-12-06
Business Address
RAUL RIOS PA-C, ATC
1648 NW 1ST ST
MERIDIAN, ID 83642-2212
Phone number: 208-888-9393
Mailing Address
RAUL RIOS PA-C, ATC
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522