| John J Pershing Va Medical Center | |
|
1500 N Westwood Blvd Poplar Bluff MO 63901-3318 | |
| (573) 778-4293 | |
| Not Available |
| Full Name | John J Pershing Va Medical Center |
|---|---|
| Speciality | Social Worker |
| Location | 1500 N Westwood Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | John Pursell (HR) |
| Authorized Official Contact | 5737784293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Pershing Va Medical Center 1500 N Westwood Blvd Poplar Bluff MO 63901-3318 Ph: (573) 778-4293 | John J Pershing Va Medical Center 1500 N Westwood Blvd Poplar Bluff MO 63901-3318 Ph: (573) 778-4293 |
| NPI Number | 1285019844 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285019844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 2015024014 (Missouri) | Primary |
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