Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missouri Southern State University

Organization Orthopaedic Surgery Physician · NPI 1902357379

Missouri Southern State University is an Orthopaedic Surgery Physician in Joplin, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

3950 Newman Rd
Joplin, MO 64801-1512
Phone: (417) 625-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 112693 (MO)

Record details

NPI number1902357379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Missouri Southern State University Sports Medicine
NPI enumeratedOctober 20, 2016
Last updated in NPPESOctober 20, 2016
Mailing address5050 Spring Valley Rd., Dallas, TX 75244

Other providers in Joplin