Organization · Type 2 NPI

St. Louis JC Vamc

VA Clinic/Center · St. Louis, MO

NPI number 1902685159 Active

Practice location

1 Jefferson Barracks Dr
St. Louis, MO 63125-4181

Fax (913) 578-4536

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...

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About NPI 1902685159

St. Louis JC Vamc's National Provider Identifier is 1902685159, issued on Sep 27, 2023. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in St. Louis, MO. The record was last updated on Sep 27, 2023.