Lindenwood University-Belleville
NPI #1316499155 in Belleville, Illinois
Provider Information
- NPI Number
- 1316499155
- Entity Type
- Organization
- Organization Name
- Lindenwood University-Belleville
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 2600 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-6651
- Phone
- (972) 367-4845
Authorized Official
- Name
- MOUZON BASS III
- Title
- AGENT
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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