SHREVEPORT VAMC

SHREVEPORT, LA
NPI1639567993
Other NameKNIGHT STREET VA OOS
Entity TypeOrganization
Authorized ContactERIN POTTER
Npi Team Member
202-382-2579
Organization Subpart ?No
Primary Taxonomy261QV0200X Clinic/Center, VA
Enumeration Date2015-01-08
Last Update Date2017-09-26