Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES
Other names
Riverside Neurology and Sleep Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATES
Authorized official
BRADEN MILLER (CFO)
(757) 316-5906
Entity
Organization
Contact information
Practice address
7547 MEDIAL DRIVE, SUITE 1300, GLOUCESTER, VA 23061
(804) 695-8550
(804) 695-8551
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
VA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
VA
Other
Enumeration date
10/30/2008
Last updated
09/21/2023
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