Riverside Physician Services INC
NPI #1124046719 in Gloucester, Virginia
Provider Information
- NPI Number
- 1124046719
- Entity Type
- Organization
- Organization Name
- Riverside Physician Services INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RIVERSIDE HEALTHCARE ASSOCIATES
- Primary Specialty
- Obstetrics & Gynecology - Gynecology
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Aug 22, 2024
Practice Location
- Address
- 6750 MAIN ST STE 200
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5517
- Phone
- (804) 693-2670
Authorized Official
- Name
- BILLIE JO BROWN
- Title
- CREDENTIALING MANAGER
- Phone
- (757) 316-5901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
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