Missouri Western State University

NPI #1063891158 in Saint Joseph, Missouri

Provider Information

NPI Number
1063891158
Entity Type
Organization
Organization Name
Missouri Western State University
Primary Specialty
Orthopaedic Surgery
Enumeration Date
May 22, 2015
Last Updated
May 22, 2015

Practice Location

Address
4525 DOWNS DR
ZIP Code
64507-2246
Phone
(816) 271-4597

Authorized Official

Name
MOUZON BASS
Title
AGENT
Phone
(972) 367-4845

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Sports MedicineSports Medicine
Orthopaedic Surgery

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