| NPI | 1508019837 |
|---|---|
| Doing Business As | RIVERSIDE INTERNAL MEDICINE BRENTWOOD |
| Entity Type | Organization |
| Authorized Contact | BRADEN MILLER CFO 757-316-5906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2024-05-21 |