OrganizationActive
Allen County Community College
NPI 1124569900 · Orthopaedic Surgery Physician · Iola, KS
Provider details
- NPI number
- 1124569900
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mouzon Bass, Agent
- License
- 0433232 (KS)
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Registry dates
- Enumerated
- 2017-03-14
- Last updated
- 2017-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.