Organization
WESTMINSTER COLLEGE
Active
Other names
Westminster Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (ADMINISTRATOR/AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
501 WESTMINSTER AVE, FULTON, MO 65251-1230
(573) 592-5200
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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