Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES INC
Other names
Riverside Infectious Disease Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATES INC
Authorized official
BRADEN MILLER (CFO)
(757) 316-5900
Entity
Organization
Contact information
Practice address
12420 WARWICK BLVD, SUITE 4C, NEWPORT NEWS, VA 23606-3001
(757) 596-7115
(757) 596-7127
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5960
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
05/03/2017
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