Missouri Southern State University

NPI #1902357379 in Joplin, Missouri

Provider Information

NPI Number: 1902357379
Entity Type: Organization
Organization Name: Missouri Southern State University
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 20, 2016
Last Updated: Oct 20, 2016

Practice Location

Address: 3950 NEWMAN RD
City: Joplin
State: Missouri
ZIP Code: 64801-1512
Phone: (417) 625-9300

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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