| NPI | 1790001501 |
|---|---|
| Doing Business As | RIVERSIDE REGIONAL ANESTHESIOLOGY |
| Entity Type | Organization |
| Authorized Contact | TONY MINA CEO 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |