Riverside Physician Services INC
Otolaryngology in Newport News, VA. Organization (NPI-2).
NPI number1669498317
StatusActive
Last updated in NPPESOct 12, 2011
Details
- NPI
- 1669498317
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Physician Services INC
- Organization subpart
- Yes
- Enumeration date
- Jul 14, 2006
- Last updated
- Oct 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Other names
- Riverside Ent Physicians And Surgeons (Doing Business As)
Practice location
895 Middle Ground BlvdSuite 152
Newport News, VA 23606-4250
Phone 757-599-5505 · Fax 757-599-3618
Mailing address
856 J Clyde Morris BlvdSuite A
Newport News, VA 23601-1318
Phone 757-594-4006 · Fax 757-534-5190
Authorized official
James Lesnick
Vice President
7575944006
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