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Organization
PODIATRIC MEDICAL SERVICES FOR AMBULATOY SURGERY, INC
Active
Organization
PODIATRIC MEDICAL SERVICES FOR AMBULATOY SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAVETTA EUDORA WEBSTER BPH (SPECIAL PROJECTS DIRECTOR)
(340) 626-3714
Entity
Organization
Contact information
Practice address
#19 SIXTH STREET, SUGAR ESTATE, ST. THOMAS, VI 00802
(340) 626-3714
(877) 349-0205
Mailing address
PO BOX 10012, ST THOMAS, VI 00801-3012
(340) 626-3714
(877) 349-0205
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
1058
VI
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C000000083123
DRIVERS LICENSE
VI
Enumeration date
06/27/2017
Last updated
06/27/2017
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