Riverside Physician Services INC

NPI #1467962662 in Yorktown, Virginia

Provider Information

NPI Number: 1467962662
Entity Type: Organization
Organization Name: Riverside Physician Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE HEALTHCARE ASSOC
Primary Specialty: Family Medicine
Enumeration Date: Oct 3, 2017
Last Updated: Oct 3, 2017

Practice Location

Address: 209 VILLAGE AVE STE P
City: Yorktown
State: Virginia
ZIP Code: 23693-5639
Phone: (757) 316-5050

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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