# VETERANS ADMINISTRATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730114802
- **Authorized official:** MICHAEL ROBERT MCCOY MD (PHYSICIAN)
- **Authorized official phone:** (907) 257-7411

## Contact information

- **Practice address:** 2925 DEBARR RD, ANCHORAGE, AK 99508-2983
- **Practice address phone:** (907) 257-7411
- **Mailing address:** 6619 CIMARRON CIR, ANCHORAGE, AK 99504-3946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 77084 | MA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020
