Organization
VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMA PAYNE RN (ARNP)
(816) 861-4700
Entity
Organization
Contact information
Practice address
VAMC, 4801 LINWOOD BLVD, MO 64015
(816) 861-4700
Mailing address
4309 SW HICKORY LANE, BS, MO 64015
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
063151
MO
Other
Enumeration date
10/03/2006
Last updated
06/27/2008
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