| NPI | 1942452867 |
|---|---|
| Doing Business As | JACK C. MONTGOMERY VA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KERRY DORIN SCHULTZ Abc Certified Orthotist 918-577-3542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: DE cert. # co004446) |
| Additional Taxonomies | 286500000X Military Hospital |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |