St. Louis Jc Vamc
NPI #1639113798 in West Plains, Missouri
Provider Information
- NPI Number
- 1639113798
- Entity Type
- Organization
- Organization Name
- St. Louis Jc Vamc
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Jan 17, 2018
Practice Location
- Address
- 1801 E STATE ROUTE K
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-9998
- Phone
- (913) 578-4409
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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