Organization · Type 2 NPI

St. Louis JC Vamc

VA Clinic/Center · Washington, MO

NPI number 1902198922 Active

Practice location

1627 A Roy Dr
Washington, MO 63090-5008

Mailing address

PO Box 94462
Cleveland, OH 44101-4462

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

4 other providers at this address

About NPI 1902198922

St. Louis JC Vamc's National Provider Identifier is 1902198922, issued on May 10, 2011. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Washington, MO. The record was last updated on Jan 17, 2018.