| Riverside Neurology And Sleep Specialists | |
|
7547 Medial Drive Suite 1300 Gloucester VA 23061 | |
| (804) 695-8550 | |
| (804) 695-8551 |
| Full Name | Riverside Neurology And Sleep Specialists |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7547 Medial Drive, Gloucester, Virginia |
| Authorized Official Name and Position | Braden Miller (CFO) |
| Authorized Official Contact | 7573165906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Neurology And Sleep Specialists 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Neurology And Sleep Specialists 7547 Medial Drive Suite 1300 Gloucester VA 23061 Ph: (804) 695-8550 |
| NPI Number | 1114170446 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114170446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Virginia) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (Virginia) | Secondary |
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