Little Rock Vamc

NPI #1215980164 in El Dorado, Arkansas

Provider Information

NPI Number: 1215980164
Entity Type: Organization
Organization Name: Little Rock Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 19, 2006
Last Updated: Aug 3, 2018

Practice Location

Address: 1702 N WEST AVE
City: El Dorado
State: Arkansas
ZIP Code: 71730
Phone: (615) 355-3451

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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