| Doctor Name: | DR. RIZK M ABDEL MOUTAGALY |
| NPI Number: | 1528021474 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 22718 |
| Business Practice Address: | 715 Gandy St Russellville, AL - 35653 |
| Business Phone Number: | 2563321175 |
| Business Fax Number: | 2563321171 |
| Mailing Address: | Po Box 580, RUSSELLVILLE |
| State: | AL |
| Postal Code: | 35653 |
| Phone Number: | 2563321175 |
| Fax Number: | 2563321171 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 02/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 22718 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |