Organization
ST. LOUIS JC VAMC
Active
Other names
ST. LOUIS VA MOBILE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1 JEFFERSON BARRACKS DR, ST. LOUIS, MO 63125-4181
(913) 578-4409
(913) 578-4536
Mailing address
PO BOX 94462, CLEVELAND, OH 44101-4462
(913) 578-4409
(913) 578-4536
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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