| 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 |