| NPI | 1033345624 | 
|---|---|
| Other Name | THUNDERBIRD VA CBOC | 
| Entity Type | Organization | 
| Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QV0200X Clinic/Center, VA | 
| Enumeration Date | 2009-06-09 | 
| Last Update Date | 2017-11-01 |