| NPI | 1114317369 |
|---|---|
| Other Name | ST. LOUIS 4 VA CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIN D POTTER Npi Team Member 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2021-05-04 |