Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOC
Authorized official
BRADEN MILLER (CFO)
(757) 316-3960
Entity
Organization
Contact information
Practice address
5231 JOHN TYLER HWY, WILLIAMSBURG, VA 23185-2553
(757) 220-8300
(757) 565-5338
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 316-3960
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/17/2006
Last updated
05/25/2016
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