Fayetteville Vamc

NPI #1912952235 in Harrison, Arkansas

Provider Information

NPI Number: 1912952235
Entity Type: Organization
Organization Name: Fayetteville Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: May 24, 2006
Last Updated: Jul 9, 2019

Practice Location

Address: 814 HIGHWAY 62 65 N STE 8
City: Harrison
State: Arkansas
ZIP Code: 72601-2149
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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