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
—
—
Other
Enumeration date
04/09/2007
Last updated
08/14/2009
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