John J. Pershing Vamc
NPI #1659764595 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1659764595
- Entity Type
- Organization
- Organization Name
- John J. Pershing Vamc
- Primary Specialty
- General Acute Care Hospital - Rural
- Enumeration Date
- Mar 17, 2015
- Last Updated
- Mar 17, 2015
Practice Location
- Address
- 1500 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3318
- Phone
- (573) 686-4151
Authorized Official
- Name
- BRADFORD JOSEPH DAVIS, FNP
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (573) 776-0905
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Rural — Rural |
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