Organization
TUCSON VAMC
Active
Other names
CASA GRANDE 1 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
1179 E COTTONWOOD LANE, SUITE 1, CASA GRANDE, AZ 85122-2969
(702) 341-3152
Mailing address
PO BOX 94422, CLEVELAND, OH 44101-4422
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
11/15/2017
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