| NPI | 1669821856 |
|---|---|
| Doing Business As | RIVERSIDE RENAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BRADEN MILLER CFO 757-316-5960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |