| NPI | 1295137925 |
|---|---|
| Doing Business As | BALL STATE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NEAL HAZEN Head Athletics Trainer 765-285-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |