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Organization
RIVERSIDE NEUROSURGICAL ASSOCIATES
Active
Organization
RIVERSIDE NEUROSURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE LYNNE PAYNE CMPE (PRACTICE ADMINISTRATOR)
(951) 682-3583
Entity
Organization
Contact information
Practice address
4000 14TH ST, 302, RIVERSIDE, CA 92501-4083
(951) 682-3583
(951) 682-9596
Mailing address
4000 14TH ST, 302, RIVERSIDE, CA 92501-4083
(951) 682-3583
(951) 682-9596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22571
CA
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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