| NPI | 1295139087 |
|---|---|
| Doing Business As | RIVERSIDE ORTHOPEDIC, SPORTS MEDICINE & PHYSIATRY SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | CAITLIN CARDEN Credentialing Specialist 757-316-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 208100000X Physical Medicine & Rehabilitation | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2021-04-12 |