Organization
RIVER PLACE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZZAT AHMED MOUSSA MD (OWNER/DOCTOR)
(763) 295-3100
Entity
Organization
Contact information
Practice address
114 WEST 3RD STREET, MONTICELLO, MN 55362
(763) 295-3100
(763) 295-6196
Mailing address
114 WEST 3RD STREET, MONTICELLO, MN 55362
(763) 295-3100
(763) 295-6196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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