NPI 1003118860
Riverside Physician Services INC
Practice location
- Address
- 460 McLaws Cir STE 110, Williamsburg, VA 23185-6428
- Phone
- (555) 555-5555
- Fax
- (555) 555-5555
- Mailing address
- 856 J Clyde Morris Blvd Suite a, Newport News, VA 23601-1318
Authorised official
- Name
- Billie Jo Brown
- Title
- Credentialing Manager
- Phone
- (757) 316-5901
Registered specialties (2)
Internal Medicine Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1003118860
- Entity type
- Organization
- NPI issued
- 30 Nov 2010
- Record last updated
- 21 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.