St. Louis Jc Vamc

Practice location

Address

1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318

Phone

(573) 778-4245

Fax

(573) 778-4246

Mailing address

PO Box 94462, Cleveland, OH 44101-4462

Authorised official

Name

Erin Denise Potter

Title

Npi Team Member

Phone

(202) 382-2579

Registered specialties

Registry record

NPI

1588622880

Entity type

Organization

NPI issued

3 May 2006

Record last updated

23 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.