Department of Veterans Affairs

NPI #1417191586 in Pueblo, Colorado

Provider Information

NPI Number: 1417191586
Entity Type: Organization
Organization Name: Department of Veterans Affairs
Primary Specialty: Clinic/Center - VA
Enumeration Date: Apr 20, 2009
Last Updated: Apr 20, 2009

Practice Location

Address: 4112 OUTLOOK BLVD
City: Pueblo
State: Colorado
ZIP Code: 81008-1667
Phone: (719) 553-1000

Authorized Official

Name: IGNACIO GARCIA/BAROS, LCSW
Title: SOCIAL WORK
Phone: (719) 553-1000

Specialties & Taxonomy Codes

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

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