Riverside Physician Services INC
NPI #1104847854 in Gloucester, Virginia
Provider Information
- NPI Number
- 1104847854
- Entity Type
- Organization
- Organization Name
- Riverside Physician Services INC
- Primary Specialty
- Surgery
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Feb 25, 2008
Practice Location
- Address
- 7547 MEDICAL DRIVE
- Address 2
- SUITE 1500
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061
- Phone
- (804) 693-3081
Authorized Official
- Name
- MICHAEL J DOUCETTE
- Title
- VICE PRESIDENT
- Phone
- (757) 594-4006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
| Surgery |
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