Organization
RIVERSIDE PHYSICIAN SERVICES, INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES, INC
Other names
Riverside Hampton Roads Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES, INC
Authorized official
MR. ERNEST PADDEN (CEO)
(757) 594-4006
Entity
Organization
Contact information
Practice address
1807 S CHURCH ST, STE 114, SMITHFIELD, VA 23430-1862
(757) 534-5100
(757) 534-5395
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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