| Riverside Physician Services Inc | |
|
16186 Main Ridge Road Tangier VA 23440 | |
| (804) 891-2412 | |
| (804) 891-2493 |
| Full Name | Riverside Physician Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16186 Main Ridge Road, Tangier, 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 16186 Main Ridge Road Tangier VA 23440 Ph: (804) 891-2412 |
| NPI Number | 1578716981 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578716981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Virginia) | Secondary |
| 207Q00000X | Family Medicine | (Virginia) | Primary |