Jack C. Montgomery Va Medical Center

NPI #1467730952 in Muskogee, Oklahoma

Provider Information

NPI Number
1467730952
Entity Type
Organization
Organization Name
Jack C. Montgomery Va Medical Center
Primary Specialty
Voluntary or Charitable
Enumeration Date
Aug 1, 2011
Last Updated
Aug 1, 2011

Practice Location

Address
102 YORK VILLAGE DR
Address 2
APT 1
ZIP Code
74403-4843
Phone
(918) 616-4626

Authorized Official

Name
GREGORY SORENSON
Title
CHIEF, VOLUNTARY SERVICES
Phone
(918) 577-3621

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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