NPI 1568029205

Muskingum University

Organisation General Practice Physician New Concord, OH

Practice location

Address: 163 Stormont St, New Concord, OH 43762-1118
Phone: (740) 826-8211
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

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Ohio →

Registry record

NPI: 1568029205
Entity type: Organization
NPI issued: 28 May 2019
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.