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Organization

BALL STATE UNIVERSITY

Active
Other names
Ball State Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
NEAL HAZEN (HEAD ATHLETICS TRAINER)
(765) 285-4469
Entity
Organization

Contact information

Practice address
HP 260, MUNCIE, IN 47306-0001
(765) 285-4469
(765) 285-4470
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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