# DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC

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

## Provider details

- **NPI number:** 1851425276
- **Authorized official:** JULIE TULLIS (L.P.N.)
- **Authorized official phone:** (319) 234-3187

## Contact information

- **Practice address:** 1015 S HACKETT RD, WATERLOO, IA
- **Practice address phone:** (319) 235-1230
- **Mailing address:** 228 OAKWOOD DR, EVANSDALE, IA 50707-1850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 261QV0200X | IA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020