Riverside Physician Services INC

NPI #1538354279 in Gloucester, Virginia

Provider Information

NPI Number: 1538354279
Entity Type: Organization
Organization Name: Riverside Physician Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE HEALTHCARE ASSOC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Sep 6, 2007
Last Updated: Sep 7, 2016

Practice Location

Address: 7554 HOSPITAL DR
Address 2: SUITE 303
City: Gloucester
State: Virginia
ZIP Code: 23061-4178
Phone: (757) 534-5340

Authorized Official

Name: BRADEN MILLER
Title: CFO
Phone: (757) 316-5960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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