River Place Clinic INC

NPI #1033204110 in Monticello, Minnesota

Provider Information

NPI Number: 1033204110
Entity Type: Organization
Organization Name: River Place Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 114 WEST 3RD STREET
City: Monticello
State: Minnesota
ZIP Code: 55362
Phone: (763) 295-3100

Authorized Official

Name: EZZAT AHMED MOUSSA, MD
Title: OWNER/DOCTOR
Phone: (763) 295-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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