Southeast Missouri State University
Southeast Missouri State University is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2017.
- Licensed in
- MO
- In the registry since
- 2017
Practice location Address checks out
1 University Plz # MS 0200Cape Girardeau, MO 63701-4710
Phone: (972) 367-4845
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence 2007008844 (MO) |
|---|
Record details
| NPI number | 1871003301 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Semo State Sports Medicine |
| NPI enumerated | October 11, 2017 |
| Last updated in NPPES | December 17, 2021 |
| Certification date | December 17, 2021 |
| Mailing address | 15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415 |
Other providers in Cape Girardeau
-
Dr. Jimmy Dayland Bowen, MD
48 Doctors Park, Cape Girardeau, MO 63703-4928 · (573) 388-3045