Prescott Vamc

NPI #1356739650 in Page, Arizona

Provider Information

NPI Number: 1356739650
Entity Type: Organization
Organization Name: Prescott Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jan 8, 2015
Last Updated: Nov 1, 2017

Practice Location

Address: 801 NORTH NAVAJO DRIVE
Address 2: SUITE B
City: Page
State: Arizona
ZIP Code: 86040-9998
Phone: (702) 341-3152

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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