Glenville State College
Glenville State College is a Sports Medicine (Internal Medicine) Physician in Glenville, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
200 High StGlenville, WV 26351-1200
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RS0010X |
|---|
Record details
| NPI number | 1043850191 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Administrator/Agent · (972) 367-4845 |
| Other names | Glenville Sports Medicine |
| NPI enumerated | January 7, 2020 |
| Last updated in NPPES | January 7, 2020 |
| Certification date | January 7, 2020 |
| Mailing address | 5050 Spring Valley Rd, Dallas, TX 75244-3995 |