Northwest College
NPI #1417651183 in Powell, Wyoming
Provider Information
- NPI Number
- 1417651183
- Entity Type
- Organization
- Organization Name
- Northwest College
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Mar 28, 2023
- Last Updated
- Mar 28, 2023
Practice Location
Authorized Official
- Name
- MR. MOUZON BASS III
- Title
- ADMINISTRATOR
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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