Pittsburg State University

NPI #1821544479 in Pittsburg, Kansas

Provider Information

NPI Number: 1821544479
Entity Type: Organization
Organization Name: Pittsburg State University
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 1701 S BROADWAY ST
Address 2: 110 RUSS HALL
City: Pittsburg
State: Kansas
ZIP Code: 66762-5856
Phone: (620) 231-7000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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