Organization
THE DOCTORS MEDICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MOUA (MANAGER)
(651) 771-2513
Entity
Organization
Contact information
Practice address
217 COMO AVE, SUITE 105, SAINT PAUL, MN 55103-1838
(651) 771-2513
Mailing address
1504 WHITE BEAR AVE N, SUITE A, SAINT PAUL, MN 55106-1622
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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