| NPI | 1841737053 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ZEYAD BAKER Principal 551-257-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-02-17 |