| NPI | 1407089659 |
|---|---|
| Doing Business As | RIVERSIDE BRENTWOOD OB/GYN |
| Entity Type | Organization |
| Authorized Contact | ERNEST PADDEN Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |