| NPI | 1740739622 |
|---|---|
| Doing Business As | EDGEWOOD COLLEGE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 64261-21) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |