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RIVERSIDE PHYSICIAN SERVICES INC NPI 1114170552


NPI Information

NPI: 1114170552
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
7552 HOSPITAL DR STE 302
GLOUCESTER, VA
ZIP 23061
Phone: (804) 693-6720
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RIVERSIDE PHYSICIAN SERVICES INC is an otolaryngology in Gloucester, VA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1114170552. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7552 HOSPITAL DR STE 302
GLOUCESTER, VA
ZIP 23061-178
Phone: (804) 693-6720
Fax: (804) 693-9875

The provider's authorized official is Braden Miller .
The authorized official title is Cfo and has the following contact phone number (757) 316-5900.

The enumeration date for this NPI number is 10/29/2008 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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