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Organization

SALT LAKE CITY VAMC

Active
Other names
POCATELLO 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
500 S 11TH AVE, POCATELLO, ID 83201-4835
(913) 578-4409
Mailing address
PO BOX 94463, CLEVELAND, OH 44101-4463
(913) 578-4409

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
06/01/2006
Last updated
03/08/2018
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