Riverside Physician Services INC

NPI #1669821856 in Gloucester, Virginia

Provider Information

NPI Number
1669821856
Entity Type
Organization
Organization Name
Riverside Physician Services INC
Subpart
Yes (part of a larger organization)
Parent Organization
RIVERSIDE HEALTHCARE ASSOC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Jun 8, 2016
Last Updated
Jun 8, 2016

Practice Location

Address
7552 HOSPITAL DR
Address 2
SUITE 302
ZIP Code
23061-4178
Phone
(804) 693-9062

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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