Fargo Vamc

NPI #1578514154 in Bismarck, North Dakota

Provider Information

NPI Number: 1578514154
Entity Type: Organization
Organization Name: Fargo Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 16, 2006
Last Updated: Nov 30, 2017

Practice Location

Address: 2700 STATE ST
Address 2: GATEWAY MALL
City: Bismarck
State: North Dakota
ZIP Code: 58503-0669
Phone: (913) 578-4409

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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