NPI | 1265453823 |
---|---|
Doing Business As | RIVERSIDE GASTROENTEROLOGY SPECIALISTS |
Entity Type | Organization |
Authorized Contact | BRADEN MILLER CFO 757-316-5906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-07-21 |
Last Update Date | 2023-07-26 |