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Organization
PODIATRIC MEDICAL SERVICES FOR AMBULATORY SERVICES PLLC
Active
Organization
PODIATRIC MEDICAL SERVICES FOR AMBULATORY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN KEITH COOK D.P.M. (MEMBER)
(340) 713-8397
Entity
Organization
Contact information
Practice address
4100 SION FARM, SUITE 7, ST. CROIX, VI 00820
(340) 713-8397
(340) 719-5301
Mailing address
4100 SION FARM, ST. CROIX, VI 00820
(340) 713-8397
(340) 719-5103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/09/2007
Last updated
08/14/2009
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