The Pennsylvania State University
The Pennsylvania State University is an Orthopaedic Surgery Physician in University Park, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.
- Licensed in
- PA
- In the registry since
- 2016
Practice location Address checks out
408 Old MainUniversity Park, PA 16802-1505
Phone: (814) 865-4700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence MD062970L (PA) |
|---|
Record details
| NPI number | 1861949869 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Pennsylvania State University Sports Medicine |
| NPI enumerated | September 7, 2016 |
| Last updated in NPPES | February 27, 2024 |
| Certification date | February 27, 2024 |
| Mailing address | 5050 Spring Valley Rd., Dallas, TX 75244-3909 |