Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIF SUFI (MEDICAL DIRECTOR)
(314) 652-3178
Entity
Organization
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2003020491
MO
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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