Walla Walla Vamc

NPI 1093106171 - Clinic/Center - 261QV0200X

NPI Details
NPI 1093106171
Enumeration Date 02/11/2015
Last Updated 02/11/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ERIN ERIN
Position NPI TEAM MEMBER
Phone (702) 341-3453
Fax
Practice Location
711 W NORTH ST
GRANGEVILLE ID, 83530-1349, US
Phone (702) 341-3453
Fax
Business Location
PO BOX 97698
LAS VEGAS NV, 89193-7698, US
Phone (702) 341-3453
Fax
Toxanomy
Taxonomy Code 261QV0200X
License State
License Number
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According to our database, Walla Walla Vamc NPI is 1093106171, taxonomy code is 261QV0200X Walla Walla Vamc physically located at 711 W North St, Grangeville ID, 83530-1349. NPI Number 1033115704 has the healthcare provider type.

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1093106171 NPI number is provided on an as is basis without warranty of any kind. 1093106171 is maintained by the National Plan & Provider Enumeration System. The contents of Walla Walla Vamc are for informational purposes only.