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Organization
UNIVERSITY OF NORTH ALABAMA
Active
Organization
UNIVERSITY OF NORTH ALABAMA
Active
Other names
UNA Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS (AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
1 HARRISON PLZ, SELF FIELD HOUSE, FLORENCE, AL 35632-0002
(972) 367-4845
Mailing address
5050 SPRING VALLEY RD., DALLAS, TX 75244-3909
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO.971
AL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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