Individual
DR. HENRY LEE MOSS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD489417
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2019
Last updated
07/14/2025
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