# ST. CROIX OBGYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629405766
- **Authorized official:** OLIVINE A TREASURE M.D. (PHYSICIAN)
- **Authorized official phone:** (340) 719-9876

## Contact information

- **Practice address:** RR\#1 10572, KINGSHILL, VI 00850
- **Practice address phone:** (340) 719-9876
- **Mailing address:** PO BOX 4159, KINGSHILL, VI 00851-4159
- **Mailing address phone:** (340) 719-9876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013