NPI | 1407872963 |
---|---|
Doing Business As | RIVERSIDE PREMIER PHYSICIANS |
Entity Type | Organization |
Authorized Contact | MICHAEL J DOUCETTE Vice President 757-594-4006 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |