NPI | 1679599120 |
---|---|
Doing Business As | RIVERSIDE GYN SPECIALISTS |
Entity Type | Organization |
Authorized Contact | JAMES LENICK Vice President 757-594-4006 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-07-15 |
Last Update Date | 2010-11-10 |