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Organization
SALT LAKE CITY VAMC
Active
Organization
SALT LAKE CITY VAMC
Active
Other names
PRICE VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
189 S 600 W, SUITE B, PRICE, UT 84501-2833
(913) 578-4409
Mailing address
PO BOX 94463, CLEVELAND, OH 44101-4463
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/06/2015
Last updated
01/17/2018
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