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Organization
GRAND VIEW UNIVERSITY
Active
Organization
GRAND VIEW UNIVERSITY
Active
Other names
Grand View Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
1200 GRANDVIEW AVE, JOHNSON WELLNESS CENTER, DES MOINE, IA 50316-1529
(972) 367-4845
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
23873
IA
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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