Organization
SOUTHSIDE PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CATHERINE ARRIETA MD (PRESIDENT)
(804) 520-8135
Entity
Organization
Contact information
Practice address
400 SOUTHPARK BLVD STE D, COLONIAL HEIGHTS, VA 23834-2974
(804) 520-8135
(804) 520-8092
Mailing address
400 SOUTHPARK BLVD STE D, COLONIAL HEIGHTS, VA 23834-2974
(804) 520-8135
(804) 520-8092
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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