NPI 1245745074

Grand View University

Organisation Sports Medicine (Orthopaedic Surgery) Physician Des Moines, IA

Practice location

Address: 1200 Grandview Ave, Des Moines, IA 50316-1529
Phone: (972) 367-4845
Mailing address: 5050 Spring Valley Rd, Dallas, TX 75244-3995

Authorised official

Name: Mouzon Bass
Title: Agent
Phone: (972) 367-4845

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence MD-37318 (IA)

Other Orthopaedic Surgery providers in Iowa →

Registry record

NPI: 1245745074
Entity type: Organization
NPI issued: 1 Dec 2017
Record last updated: 1 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.