NPI | 1134147788 |
---|---|
Doing Business As | RIVERSIDE RENAL SPECIALISTS |
Entity Type | Organization |
Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-18 |
Last Update Date | 2022-12-12 |