Riverside Physician Services INC

NPI #1003118860 in Williamsburg, Virginia

Provider Information

NPI Number: 1003118860
Entity Type: Organization
Organization Name: Riverside Physician Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE HEALTHCARE ASSOCIATES
Primary Specialty: Internal Medicine
Enumeration Date: Nov 30, 2010
Last Updated: Nov 21, 2024

Practice Location

Address: 460 MCLAWS CIR STE 110
City: Williamsburg
State: Virginia
ZIP Code: 23185-6428
Phone: (555) 555-5555

Authorized Official

Name: BILLIE JO BROWN
Title: CREDENTIALING MANAGER
Phone: (757) 316-5901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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