NPI 1659764595
John J. Pershing Vamc
Practice location
- Address
- 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318
- Phone
- (573) 686-4151
- Fax
- (573) 778-4190
Authorised official
- Name
- Bradford Joseph Davis
- Title
- Family Nurse Practitioner
- Phone
- (573) 776-0905
Registered specialties
Rural Acute Care Hospital
Primary
Registry record
- NPI
- 1659764595
- Entity type
- Organization
- NPI issued
- 17 Mar 2015
- Record last updated
- 17 Mar 2015
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.