Organization
ST. LOUIS JC VAMC
Active
Other names
ST. LOUIS 2 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
4974 MANCHESTER AVE, SAINT LOUIS, MO 63110-2010
(913) 578-4409
Mailing address
PO BOX 94462, CLEVELAND, OH 44101-4462
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
01/17/2018
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