| NPI | 1528438116 |
|---|---|
| Doing Business As | MSU SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Office Manager 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |