Organization
KANSAS WESLEYAN UNIVERSITY
Active
Organization
KANSAS WESLEYAN UNIVERSITY
Active
Other names
Kansas Wesleyan University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (AGEN)
(972) 367-4845
Entity
Organization
Contact information
Practice address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3909
(972) 367-4845
Mailing address
100 E. CLAFLIN AVE, SALINA, KS 67401-6196
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-17244
KS
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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