Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1760542567 |
| LBN Legal business name | NORTHWEST MISSOURI STATE UNIVERSITY |
| Authorized official | SUSAN WATSON - (MEDICAL DIRECTOR / PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/11/2006 |
| Last updated | 01/26/2023 - About 3 years ago |
| Identifiers | n/a |
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