Organization
UNIVERSITY OF NORTH ALABAMA
Active
Other names
UNA Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS (AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
1 HARRISON PLZ, SELF FIELD HOUSE, FLORENCE, AL 35632-0002
(972) 367-4845
Mailing address
5050 SPRING VALLEY RD., DALLAS, TX 75244-3909
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO.971
AL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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