| NPI | 1255759429 |
|---|---|
| Doing Business As | RIVERSIDE INFECTIOUS DISEASE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BRADEN MILLER CFO 757-316-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2017-05-03 |