Organization · Type 2 NPI

Clarksburg Vamc

VA Clinic/Center · Gassaway, WV

NPI number 1790739118 Active

Practice location

40 Reston Pl
Gassaway, WV 26624-7899

Mailing address

PO Box 94436
Cleveland, OH 44101-4436

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

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About NPI 1790739118

Clarksburg Vamc's National Provider Identifier is 1790739118, issued on May 20, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Gassaway, WV. The record was last updated on Apr 17, 2018.