George Mason University
George Mason University is an Orthopaedic Surgery Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2016.
- Licensed in
- VA
- In the registry since
- 2016
Practice location Address checks out
4400 University DrFairfax, VA 22030-4422
Phone: (703) 993-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 0101024710 (VA) |
|---|
Record details
| NPI number | 1114470606 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | George Mason University Sports Medicine |
| NPI enumerated | August 1, 2016 |
| Last updated in NPPES | August 1, 2016 |
| Mailing address | 5050 Spring Valley Rd, Dallas, TX 75244-3909 |
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