Organization
AMI PROFESSIONAL SERVICES LLC
Active
Organization
AMI PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY COOK (PRESIDENT)
(571) 375-8366
Entity
Organization
Contact information
Practice address
12030 SUNRISE VALLEY DRIVE, SUITE 250,, RESTON,, VA 20191
(571) 375-8366
Mailing address
12030 SUNRISE VALLEY DRIVE, SUITE 250,, RESTON,, VA 20191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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