Prescott Vamc

NPI #1770539561 in Kingman, Arizona

Provider Information

NPI Number: 1770539561
Entity Type: Organization
Organization Name: Prescott Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 25, 2006
Last Updated: Nov 1, 2017

Practice Location

Address: 2668 HUALAPAI MOUNTAIN RD
City: Kingman
State: Arizona
ZIP Code: 86401-8387
Phone: (702) 341-3152

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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