Glenville State College
NPI #1043850191 in Glenville, West Virginia
Provider Information
- NPI Number
- 1043850191
- Entity Type
- Organization
- Organization Name
- Glenville State College
- Primary Specialty
- Internal Medicine - Sports Medicine
- Enumeration Date
- Jan 7, 2020
- Last Updated
- Jan 7, 2020
Practice Location
- Address
- 200 HIGH ST
- City
- Glenville
- State
- West Virginia
- ZIP Code
- 26351-1200
- Phone
- (972) 367-4845
Authorized Official
- Name
- MOUZON BASS III
- Title
- ADMINISTRATOR/AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Sports Medicine — Sports Medicine |
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