Organization
PROMED CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY RICKETTS M.D. (OWNER)
(340) 773-0007
Entity
Organization
Contact information
Practice address
1 ESTATE CANE, SUITE 207,208,209, FREDERIKSTED, VI 00840-4425
(340) 773-0007
Mailing address
1 ESTATE CANE, SUITE 205, FREDERIKSTED, VI 00840-4425
(340) 773-0007
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2-21364-1L
VI
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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