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Missouri Baptist University — NPI 1275237406, Saint Louis, MO | NPI Central

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NPI 1275237406

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Missouri Baptist University

NPI 1275237406 · Sports Medicine (Family Medicine) Physician · Saint Louis, MO

Provider details

NPI number: 1275237406
Entity type: Organization
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Mouzon Bass, Administrator(972) 367-4845

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010X
Allopathic & Osteopathic Physicians

Practice location

1 College Park Dr

Saint Louis, MO 63141-8660

Phone: (972) 367-4845

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

15305 Dallas Pkwy Ste 800

Addison, TX 75001-6415

Other names (DBA / former)

Doing business as: Missouri Baptist University Athletics

Registry dates

Enumerated: 2023-03-30
Last updated: 2023-03-30
Certified: 2023-03-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.