Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE PHYSICIAN SERVICES INC
Other names
Riverside Primary Care Midtown
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE PHYSICIAN SERVICES INC
Authorized official
BRADEN MILLER (CFO)
(757) 316-5906
Entity
Organization
Contact information
Practice address
301 COLLEGE ROW UNIT 9101, WILLIAMSBURG, VA 23185-3694
(757) 782-6200
(757) 594-2195
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
07/27/2023
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