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Organization
MUSKOGEE VAMC
Active
Organization
MUSKOGEE VAMC
Active
Other names
IDABEL VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1425 E LINCOLN RD STE B3, IDABEL, OK 74745-7345
(913) 578-4409
Mailing address
PO BOX 94517, CLEVELAND, OH 44101-4517
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/27/2017
Last updated
11/24/2025
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