Organization
PRIMARY FOOT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL MONICA RUCKER DPM (OWNER)
(888) 499-7747
Entity
Organization
Contact information
Practice address
3004 ESTATE ALTONA, ST THOMAS, VI 00802-5735
(888) 499-7747
Mailing address
9160 ESTATE THOMAS, ST THOMAS, VI 00802-3641
(888) 499-7747
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
1475
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011589800
—
DC
01
—
1952814717
VI EQUICARE
VI
Enumeration date
11/14/2017
Last updated
06/16/2018
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