| NPI | 1689880247 |
|---|---|
| Other Name | V.A. OUTPATIENT CLINIC (119) |
| Entity Type | Organization |
| Authorized Contact | THERESA L. MORSE Staff Clerk 907-257-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |