Organization
FARGO VAMC
Active
Other names
DEVILS LAKE VA CBOC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1031 7TH STREET NORTHEAST, DEVILS LAKE, ND 58301-5830
(913) 578-4409
Mailing address
PO BOX 94452, CLEVELAND, OH 44101-4452
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
12/11/2017
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