Organization
GRAND VIEW UNIVERSITY
Active
Organization
GRAND VIEW UNIVERSITY
Active
Other names
Grand View Sports Medicine
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, DES MOINES, IA 50316-1529
(972) 367-4845
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD-37318
IA
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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