Riverside Physician Services Inc | |
120 Kings Way Suite 2700 Williamsburg VA 23185-2505 | |
(757) 221-0110 | |
Not Available |
Full Name | Riverside Physician Services Inc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 120 Kings Way, Williamsburg, Virginia |
Authorized Official Name and Position | James Lesnick (VICE PRESIDENT) |
Authorized Official Contact | 7575944006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Riverside Physician Services Inc 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Physician Services Inc 120 Kings Way Suite 2700 Williamsburg VA 23185-2505 Ph: (757) 221-0110 |
NPI Number | 1629086087 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 10/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629086087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
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