Riverside Physician Services INC

NPI #1134399066 in Hampton, Virginia

Provider Information

NPI Number: 1134399066
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: Mar 6, 2008
Last Updated: Sep 17, 2024

Practice Location

Address: 850 ENTERPRISE PKWY
Address 2: STE 2200
City: Hampton
State: Virginia
ZIP Code: 23666-6251
Phone: (757) 251-2170

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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