NPI 1538791538

Bloomsburg University Speech & Hearing Clinic

Organisation Sports Medicine (Orthopaedic Surgery) Physician Bloomsburg, PA

Practice location

Address: 400 E 2nd St, Bloomsburg, PA 17815-1301
Phone: (570) 389-4000
Mailing address: 15305 Dallas Pkwy STE 800, Addison, TX 75001-6415

Authorised official

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

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X

Other Orthopaedic Surgery providers in Pennsylvania →

Registry record

NPI: 1538791538
Entity type: Organization
NPI issued: 7 Feb 2020
Record last updated: 17 Dec 2021

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.