Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
VA |
261QV0200X |
| NPI Number | 1689022097 |
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| LBN Legal business name | VA EASTERN COLORADO HEALTH CARE SYSTEM | ||||
| Authorized official | MEGAN BRISTER - (MOVE COORDINATOR, RD) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/25/2016 | ||||
| Last updated | 05/25/2016 - About 10 years ago | ||||
| Identifiers |
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