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Organization
RIVERSIDE PHYSICIAN SERVICES, INC
Active
Organization
RIVERSIDE PHYSICIAN SERVICES, INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES, INC
Other names
Riverside Regional Anesthesiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES, INC
Authorized official
MR. TONY MINA (CEO)
(757) 594-4006
Entity
Organization
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2190
(757) 594-2195
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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