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Organization

SALT LAKE CITY VAMC

Active
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Organization

SALT LAKE CITY VAMC

Active
Other names
NORTH LOGAN VA CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization

Contact information

Practice address
2380 N 400 E STE G, NORTH LOGAN, UT 84341-1769
(913) 578-4409
(913) 578-4536
Mailing address
PO BOX 94463, CLEVELAND, OH 44101-4463
(913) 578-4409
(913) 578-4536

Taxonomy

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

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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