St. Louis Jc Vamc
NPI #1972554566 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1972554566
- Entity Type
- Organization
- Organization Name
- St. Louis Jc Vamc
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- May 16, 2006
- Last Updated
- Mar 18, 2022
Practice Location
- Address
- 711 S MOUNT AUBURN RD
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63703-9998
- Phone
- (913) 578-4409
Authorized Official
- Name
- MS. ERIN POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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