Organization
OKLAHOMA CITY VAMC
Active
Other names
SHAWNEE VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3700 N KICKAPOO AVE STE 100, SHAWNEE, OK 74804-0007
(615) 355-3451
Mailing address
PO BOX 94537, CLEVELAND, OH 44101-4537
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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