| NPI | 1831646397 |
|---|---|
| Doing Business As | LINDENWOOD UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2013027435) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-07 |