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Organization

NAMG RIVERSIDE ASC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGG MILLER MD (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization

Contact information

Practice address
4334 CENTRAL AVE, RIVERSIDE, CA 92506-2918
(951) 248-1291
Mailing address
PO BOX 411825, BOSTON, MA 02241-1825
(610) 644-8900
(484) 924-0053

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
06/06/2024
Last updated
06/20/2024
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