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

Ottawa University

Organization General Practice Physician · NPI 1346751351

Ottawa University is a General Practice Physician in Surprize, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017

Practice location Address checks out

15950 N Civ Center Plz
Surprize, AZ 85374
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 31375 (AZ)

Record details

NPI number1346751351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Ottawa Sports Medicine
NPI enumeratedOctober 17, 2017
Last updated in NPPESOctober 17, 2017
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995