Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Other names
Nursing Home-Hosfield
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DOUCETTE (CREDENTIALING SPECIALIST)
(757) 594-4006
Entity
Organization
Contact information
Practice address
2960 CHELSEA RD, WEST POINT, VA 23181-9793
(804) 843-4323
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
VA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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