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Organization
RIVERSIDE PHYSICIANS SERVICES INC
Active
Organization
RIVERSIDE PHYSICIANS SERVICES INC
Active
Other names
Magruder Primcary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DOUCETTE (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
850 ENTERPRISE PKWY, STE 1300, HAMPTON, VA 23666-6251
(757) 637-7600
(757) 637-7641
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
01/20/2009
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