Veterans Affairs Medical Center

NPI #1962718692 in Cheyenne, Wyoming

Provider Information

NPI Number: 1962718692
Entity Type: Organization
Organization Name: Veterans Affairs Medical Center
Primary Specialty: Clinic/Center - VA
Enumeration Date: Aug 18, 2010
Last Updated: Aug 18, 2010

Practice Location

Address: 5709 EDUCATION DR
Address 2: APARTMENT 307
City: Cheyenne
State: Wyoming
ZIP Code: 82009-3951
Phone: (307) 760-4867

Authorized Official

Name: MS. KELLY ANN ROBERTSON, CPHT, B.S
Title: PHARMACY TECHNICIAN
Phone: (307) 760-4867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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