RILEY GOODWIN
Physician Assistant
Active
Individual
NPI: 1790479962
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | - |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1790479962 is the National Provider Identifier for RILEY GOODWIN, a Physician Assistant provider located in Rapid City, SD. This NPI was enumerated on June 8, 2023.
RILEY GOODWIN practices at 12955 BOGUS JIM RD, Rapid City, SD 57702.
Quick Facts
- NPI
- 1790479962
- Type
- Individual
- Enumerated
- Jun 8, 2023
- Last Updated
- Jun 8, 2023
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