Salt Lake City Vamc

NPI #1124419551 in Price, Utah

Provider Information

NPI Number: 1124419551
Entity Type: Organization
Organization Name: Salt Lake City Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Feb 6, 2015
Last Updated: Jan 17, 2018

Practice Location

Address: 189 S 600 W
Address 2: SUITE B
City: Price
State: Utah
ZIP Code: 84501-2833
Phone: (913) 578-4409

Authorized Official

Name: ERIN 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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