Organization · Type 2 NPI

Riverside Physician Services Inc

Radiation Oncology Physician · Onancock, VA

NPI number 1417495367 Active

Practice location

20480 Market Street
Onancock, VA 23417

Call (757) 302-2600 Map

Mailing address

856 J Clyde Morris Blvd, Suite A
Newport News, VA 23601-1318

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

2 other providers at this address

NPI record

NPI: 1417495367
Entity type: Organization (Type 2)
Issued: Feb 10, 2017
Last updated: Feb 10, 2017
Status: Active
Subpart: Yes of Riverside Healthcare Associates

Other names

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Riverside Radiation Oncology Specialists-Shore · doing business as

Authorized official

Braden Miller
CFO
(757) 316-5800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417495367

Riverside Physician Services Inc's National Provider Identifier is 1417495367, issued on Feb 10, 2017. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Onancock, VA. The record was last updated on Feb 10, 2017.