| NPI | 1861414609 |
|---|---|
| Doing Business As | RIVERSIDE PRIMARY CARE MIDTOWN |
| Entity Type | Organization |
| Authorized Contact | BRADEN MILLER CFO 757-316-5906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-07-27 |