Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA GEHRINGER (CREDENTIALING COORDINATOR)
(814) 943-8164
Entity
Organization
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8161
Mailing address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8161
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
MA055612
PA
286500000X
Military Hospital
OA002903
PA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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