| NPI | 1114470606 |
|---|---|
| Doing Business As | GEORGE MASON UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101024710) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |