Saint Martin's University
NPI #1023898483 in Lacey, Washington
Provider Information
- NPI Number
- 1023898483
- Entity Type
- Organization
- Organization Name
- Saint Martin's University
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Oct 3, 2023
- Last Updated
- Oct 3, 2023
Practice Location
- Address
- 5000 ABBEY WAY SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-3200
- Phone
- (972) 367-4845
Authorized Official
- Name
- MR. MOUZON BASS III
- Title
- ADMINISTRATOR/AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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