Union College Sports Medicine | |
310 College St Lakeside Bldg Barbourville KY 40906-1410 | |
(972) 367-4845 | |
Not Available |
Full Name | Union College Sports Medicine |
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Speciality | Family Medicine |
Location | 310 College St, Barbourville, Kentucky |
Authorized Official Name and Position | Mouzon Bass (AGENT) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Union College Sports Medicine 5050 Spring Valley Rd. Dallas TX 75244-3909 Ph: () - | Union College Sports Medicine 310 College St Lakeside Bldg Barbourville KY 40906-1410 Ph: (972) 367-4845 |
NPI Number | 1851830509 |
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Provider Enumeration Date | 02/14/2017 |
Last Update Date | 02/14/2017 |
Identifier | Type | State | Issuer |
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1851830509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 25858 (Kentucky) | Primary |
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