John J Pershing Va Medical Center
NPI #1578712741 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1578712741
- Entity Type
- Organization
- Organization Name
- John J Pershing Va Medical Center
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 12, 2008
- Last Updated
- Sep 12, 2008
Practice Location
- Address
- 1500 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3318
- Phone
- (573) 778-4244
Authorized Official
- Name
- MISS TRACIE A EUDALEY, M.T.
- Title
- LEAD MEDICAL TECHNOLOGIST
- Phone
- (573) 778-4244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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