Organization
ALBUQUERQUE VAMC
Active
Other names
ESPANOLA VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
105 S CORONADO AVE, ESPANOLA, NM 87532-2862
(702) 341-3152
Mailing address
PO BOX 89495, CLEVELAND, OH 44101-6495
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
04/15/2022
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