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Organization
UNIVERSITY OF SAN FRANCISCO
Active
Organization
UNIVERSITY OF SAN FRANCISCO
Active
Other names
University of San Francisco Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (AGEN)
(972) 367-4845
Entity
Organization
Contact information
Practice address
2130 FULTON ST, SAN FRANCISCO, CA 94117-1080
(415) 422-6431
(972) 367-3451
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
04/10/2016
Last updated
04/10/2016
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