# RIVERSIDE FAMILY PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245286210
- **Authorized official:** DR. JAMES E PALEN M.D. (OWNER)
- **Authorized official phone:** (573) 335-0166

## Contact information

- **Practice address:** 3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
- **Practice address phone:** (573) 335-0166
- **Practice address fax:** (573) 335-7942
- **Mailing address:** 3129 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6364
- **Mailing address phone:** (573) 335-0166
- **Mailing address fax:** (573) 335-7942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32836 | MO | Yes |
| 207R00000X | Internal Medicine Physician | 2000160642 | MO | — |
| 207RN0300X | Nephrology Physician | 2000160642 | MO | — |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 09/11/2025