| NPI | 1265785364 | 
|---|---|
| Other Name | NORTHEAST PHOENIX VA CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QV0200X Clinic/Center, VA | 
| Enumeration Date | 2012-10-26 | 
| Last Update Date | 2017-11-01 |