Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Medical Clinic

Organization Family Medicine Physician · NPI 1811206923

Riverside Medical Clinic is a Family Medicine Physician in Lake City, Arkansas. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

803 Hwy 18
Lake City, AR 72347-0505
Phone: (870) 237-1055
Fax: (870) 237-1054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1811206923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tommy Wagner — Owner · (870) 561-3300
NPI enumeratedOctober 7, 2010
Last updated in NPPESAugust 2, 2011
Mailing addressPo Box 910, Manila, AR 72442-0910

Other providers in Lake City