Organization · Type 2 NPI
Salt Lake City Vamc
VA Clinic/Center · Roosevelt, UT
NPI number
1124062898
Active
Practice location
245 W 200 N
Roosevelt, UT 84066-2740
Mailing address
PO Box 94463
Cleveland, OH 44101-4463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1124062898
Salt Lake City Vamc's National Provider Identifier is 1124062898, issued on Jun 15, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Roosevelt, UT. The record was last updated on Jan 17, 2018.