Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside Pulmonary and Sleep Specialists Gloucester
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
BILLIE JO BROWN (CREDENTIALING MANAGER)
(757) 316-5901
Entity
Organization
Contact information
Practice address
7544 HOSPITAL DR STE 202, GLOUCESTER, VA 23061-4178
(804) 694-5553
(804) 694-8232
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
09/05/2024
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