NPI | 1679023428 |
---|---|
Doing Business As | RIVERSIDE PRIMARY CARE CENTER |
Entity Type | Organization |
Authorized Contact | BRAD MILLER CFO 757-316-5906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-10-05 |
Last Update Date | 2016-10-05 |