| NAME |
SOUTHEAST CBOC |
| STATE |
ARIZONA |
| STREET ADDR. 1 |
3285 S. VAL VISTA DR |
| CITY |
GILBERT |
| ZIP |
85297-7000 |
| OFFICIAL VA NAME |
SOUTHEAST CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
GILBERT VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1437197902
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
MOUNTAIN |
| COUNTRY |
USA |
| TIMEZONE EXCEPTION |
SST Only |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
644BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1437197902
-
- CODING SYSTEM: VASTANUM
- ID: 644BY
-
- CODING SYSTEM: CLIA
- ID: 03D0987880
|
