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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

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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