Fayetteville Vamc

NPI #1831415751 in Ozark, Arkansas

Provider Information

NPI Number: 1831415751
Entity Type: Organization
Organization Name: Fayetteville Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Apr 16, 2010
Last Updated: Sep 26, 2017

Practice Location

Address: 2713 W COMMERCIAL ST
City: Ozark
State: Arkansas
ZIP Code: 72949-3409
Phone: (615) 355-3451

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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