| NPI | 1225576069 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ZEYAD BAKER Principal 551-257-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-15 |