Riverside Physician Services INC

NPI #1114170552 in Gloucester, Virginia

Provider Information

NPI Number
1114170552
Entity Type
Organization
Organization Name
Riverside Physician Services INC
Subpart
Yes (part of a larger organization)
Parent Organization
RIVERSIDE PHYSICIAN SERVICES INC
Primary Specialty
Otolaryngology
Enumeration Date
Oct 29, 2008
Last Updated
Mar 17, 2018

Practice Location

Address
7552 HOSPITAL DR STE 302
ZIP Code
23061-4178
Phone
(804) 693-6720

Authorized Official

Name
BRADEN MILLER, MD
Title
CFO
Phone
(757) 316-5900

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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