RILEY GOODWIN

RAPID CITY, SD
NPI1790479962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2023-06-08
Last Update Date2023-06-08
Business Address
RILEY GOODWIN
12955 BOGUS JIM RD
RAPID CITY, SD 57702-9703
Phone number: 605-786-5643
Mailing Address
RILEY GOODWIN
12955 BOGUS JIM RD
RAPID CITY, SD 57702-9703
Phone number: 605-786-5643