Organization · Type 2 NPI
Memphis Vamc
VA Clinic/Center · Tupelo, MS
NPI number
1073552436
Active
Practice location
1114 Commonwealth Blvd.
Tupelo, MS 38804-9998
Mailing address
PO Box 94511
Cleveland, OH 44101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1073552436
Memphis Vamc's National Provider Identifier is 1073552436, issued on Jun 4, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Tupelo, MS. The record was last updated on Sep 13, 2017.