| NPI | 1316499155 |
|---|---|
| Doing Business As | LINDENWOOD UNIVERSITY-BELLEVILLE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036129925) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |