Culver-Stockton College

NPI #1952839789 in Canton, Missouri

Provider Information

NPI Number: 1952839789
Entity Type: Organization
Organization Name: Culver-Stockton College
Primary Specialty: Family Medicine
Enumeration Date: May 24, 2017
Last Updated: May 24, 2017

Practice Location

Address: 1 COLLEGE HL
City: Canton
State: Missouri
ZIP Code: 63435-1257
Phone: (972) 367-4845

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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