| Organization Name: | RIVERSIDE PODIATRY, P.C. |
| NPI Number: | 1003984576 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT C HOPE (OWNER) |
| Mailing Address: | 535 Jack Warner Pkwy Ne Suite A-1 Tuscaloosa |
| State: | AL US |
| Postal Code: | 354045751 |
| Phone Number: | 2056333606 |
| Fax Number: | 2056333696 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |