# RIVERSIDE PHYSICIAN SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE PHYSICIAN SERVICES, INC
- **Other names:** Riverside Endocrinology & Diabetes Specialists Williamsburg
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861729915
- **Legal business name:** RIVERSIDE PHYSICIAN SERVICES, INC
- **Authorized official:** MR. BRADEN MILLER (CFO)
- **Authorized official phone:** (757) 316-5800

## Contact information

- **Practice address:** 3700 BATTERY BLVD STE 202, WILLIAMSBURG, VA 23185-4888
- **Practice address phone:** (757) 645-3460
- **Practice address fax:** (757) 645-3481
- **Mailing address:** 856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 316-5800
- **Mailing address fax:** (757) 534-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2009
- **Last updated:** 05/14/2024