Organization
DAYTON VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY HUGGER (OUTREACH COORDINATOR)
(765) 973-6915
Entity
Organization
Contact information
Practice address
4351 SO. A, RICHMOND, IN 47374-6052
(765) 973-6915
Mailing address
3205 CART RD, RICHMOND, IN 47374-9345
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
39000717A
IN
Other
Enumeration date
07/24/2006
Last updated
08/22/2020
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