NPI | 1649296286 |
---|---|
Doing Business As | RIVERSIDE VASCULAR SPECIALISTS WILLIAMSBURG |
Entity Type | Organization |
Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2006-07-15 |
Last Update Date | 2024-05-06 |