| 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 |