Organization
DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE TULLIS (L.P.N.)
(319) 234-3187
Entity
Organization
Contact information
Practice address
1015 S HACKETT RD, WATERLOO, IA
(319) 235-1230
Mailing address
228 OAKWOOD DR, EVANSDALE, IA 50707-1850
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
261QV0200X
IA
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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