NPI | 1962591958 |
---|---|
Doing Business As | RIVERSIDE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | AUGUSTO A NORONHA Vice President Finance And CFO 314-996-5118 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 355-24) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2011-12-02 |