Riverside Physician Services INC

NPI #1962599100 in Grafton, Virginia

Provider Information

NPI Number: 1962599100
Entity Type: Organization
Organization Name: Riverside Physician Services INC
Subpart: Yes (part of a larger organization)
Parent Organization: RIVERSIDE PHYSICIAN SERVICES INC
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2006
Last Updated: Sep 28, 2011

Practice Location

Address: 2855 DENBIGH BLVD
City: Grafton
State: Virginia
ZIP Code: 23692-6501
Phone: (757) 968-5700

Authorized Official

Name: JAMES LESNICK, MD
Title: VICE PRESIDENT
Phone: (757) 594-4006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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