| NPI | 1205356938 |
|---|---|
| Doing Business As | ALABAMA STATE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 32588) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |