Fayetteville Vamc
NPI #1417900671 in Springfield, Missouri
Provider Information
- NPI Number
- 1417900671
- Entity Type
- Organization
- Organization Name
- Fayetteville Vamc
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- May 18, 2006
- Last Updated
- Jan 22, 2019
Practice Location
- Address
- 1850 W REPUBLIC RD
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65807-5730
- Phone
- (615) 355-3451
Authorized Official
- Name
- ERIN POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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