Organization
JOHN J PERSHING VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACIE A EUDALEY M.T. (LEAD MEDICAL TECHNOLOGIST)
(573) 778-4244
Entity
Organization
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4244
(573) 778-4153
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4244
(573) 778-4153
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
176313
MO
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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