# RIVERSIDE PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE HEALTHCARE ASSOCIATES INC
- **Other names:** John L. Marshall, MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396999215
- **Legal business name:** RIVERSIDE HEALTHCARE ASSOCIATES INC
- **Authorized official:** JAMES LESNICK MD (VICE PRESIDENT)
- **Authorized official phone:** (757) 594-4006

## Contact information

- **Practice address:** 12715 WARWICK BLVD, SUITE H, NEWPORT NEWS, VA 23606-1800
- **Practice address phone:** (757) 594-3969
- **Practice address fax:** (757) 594-3971
- **Mailing address:** 856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 594-4006
- **Mailing address fax:** (754) 534-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | VA | Yes |

## Other

- **Enumeration date:** 11/05/2008
- **Last updated:** 10/15/2014