NPI | 1629452255 |
---|---|
Doing Business As | COLORADO MESA SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | MOUZON BASS Agent 972-367-4845 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2015-07-14 |
Last Update Date | 2015-07-14 |