LOUIS STOKES VA MEDICAL CENTER NPI 1245521723

NPI Information

LOUIS STOKES VA MEDICAL CENTER is a student in an organized health care education training program in Cleveland, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. LOUIS STOKES VA MEDICAL CENTER NPI is 1245521723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10701 EAST BLVD
DENTAL SERVICE 160 (W)
CLEVELAND, OH
ZIP 44106-702
Phone: (216) 791-3800
Fax: (216) 231-3427

The provider's authorized official is Susan Petrak .
The authorized official title is Management And Program Analyst and has the following contact phone number (216) 791-3800.

The enumeration date for this NPI number is 5/2/2011 and was last updated on 5/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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