| George Washington University Sports Medicine | |
|
600 22nd St Nw Charles E. Smith Center Washington DC 20052-0055 | |
| (202) 994-6650 | |
| Not Available |
| Full Name | George Washington University Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 600 22nd St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Washington University Sports Medicine 5050 Spring Valley Rd. Dallas TX 75244-3909 Ph: () - | George Washington University Sports Medicine 600 22nd St Nw Charles E. Smith Center Washington DC 20052-0055 Ph: (202) 994-6650 |
| NPI Number | 1790232338 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790232338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD6727 (District Of Columbia) | Primary |
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