OrganizationActive
Graceland University
NPI 1609323245 · General Practice Physician · Lamoni, IA
Provider details
- NPI number
- 1609323245
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mouzon Bass, Agent
- License
- 02206 (IA)
Mailing address
5050 Spring Valley Rd.
Dallas, TX 75244-3909
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.