| NPI | 1609426709 |
|---|---|
| Other Name | BLOOMINGTON VA CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIN DENISE POTTER Npi Team 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-02-22 |