Oklahoma City Vamc

NPI #1003544586 in Shawnee, Oklahoma

Provider Information

NPI Number: 1003544586
Entity Type: Organization
Organization Name: Oklahoma City Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Aug 11, 2022
Last Updated: Aug 11, 2022

Practice Location

Address: 3700 N KICKAPOO AVE STE 100
City: Shawnee
State: Oklahoma
ZIP Code: 74804-0007
Phone: (615) 355-3451

Authorized Official

Name: ERIN DENISE POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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