Organization
JOHN J PERSHING VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PURSELL MBA (HR)
(573) 778-4293
Entity
Organization
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4293
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4293
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2015024014
MO
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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