Organization
VA HOSPITAL - MARION, IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTON N KOJOUHAROV M.D. (MEDICAL DOCTOR)
(765) 674-3321
Entity
Organization
Contact information
Practice address
1700 EAST 38 STREET, MARION, IN 46953
(888) 838-6446
Mailing address
979 E LAKEWOOD DR, ALEXANDRIA, IN 46001
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
01035651
IN
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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