Alabama State University
Alabama State University is a Sports Medicine (Orthopaedic Surgery) Physician in Montgomery, Alabama. Licensed in Alabama. Registered with an NPI since 2017.
- Licensed in
- AL
- In the registry since
- 2017
Practice location Address checks out
915 S Jackson StMontgomery, AL 36104-5716
Phone: (972) 367-4845
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Orthopaedic Surgery) Physician (primary) | Taxonomy 207XX0005X · Licence 32588 (AL) |
|---|
Record details
| NPI number | 1205356938 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Alabama State Sports Medicine |
| NPI enumerated | June 23, 2017 |
| Last updated in NPPES | June 23, 2017 |
| Mailing address | 5050 Spring Valley Rd, Dallas, TX 75244-3995 |