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

Missouri Western State University

Organization Orthopaedic Surgery Physician · NPI 1063891158

Missouri Western State University is an Orthopaedic Surgery Physician in Saint Joseph, Missouri. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

4525 Downs Dr
Saint Joseph, MO 64507-2246
Phone: (816) 271-4597
Fax: (972) 367-3451
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1063891158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Missouri Western State University Sports Medicine
NPI enumeratedMay 22, 2015
Last updated in NPPESMay 22, 2015
Mailing addressPo Box 650850, Dept 1011, Dallas, TX 75265-0850

Other providers in Saint Joseph