| Svu Sports Medicine | |
|
1 University Hill Dr Knight Sports Arena Buena Vista VA 24416-3038 | |
| (540) 261-4931 | |
| (540) 266-3866 |
| Full Name | Svu Sports Medicine |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1 University Hill Dr, Buena Vista, Virginia |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Svu Sports Medicine 15305 Dallas Pkwy Ste 800 Addison TX 75001-6415 Ph: (972) 367-4845 | Svu Sports Medicine 1 University Hill Dr Knight Sports Arena Buena Vista VA 24416-3038 Ph: (540) 261-4931 |
| NPI Number | 1083015960 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083015960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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