St Bonaventure University
St Bonaventure University is an Orthopaedic Surgery Physician in Saint Bonaventure, New York. Licensed in New York. Registered with an NPI since 2017.
- Licensed in
- NY
- In the registry since
- 2017
Practice location Address checks out
3261 W State RdSaint Bonaventure, NY 14778-9800
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 211943-2 (NY) |
|---|
Record details
| NPI number | 1710407945 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | St. Bonaventure Sports Medicine |
| NPI enumerated | June 20, 2017 |
| Last updated in NPPES | June 20, 2017 |
| Mailing address | 5050 Spring Valley Rd, Dallas, TX 75244-3995 |