| NPI | 1659673440 |
|---|---|
| Doing Business As | RIVERSIDE PRIMARY CARE ON DEMAND |
| Entity Type | Organization |
| Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2023-09-13 |