| NPI | 1336420793 |
|---|---|
| Doing Business As | NEWMAN UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CAM CLARK Athletic Director 316-942-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-01-27 |