Podiatric Medical Services for Ambulatory Services PLLC

Organization Active NPI Ambulatory Surgical Clinic/Center · St. Croix, VI

NPI 1164545950 · NPPES record last updated Aug 14, 2009

Key facts

NPI
1164545950
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
PODIATRIC MEDICAL SERVICES FOR AMBULATORY SERVICES PLLC
Practice address
4100 Sion Farm
Suite 7
St. Croix, VI 00820
Phone
(340) 713-8397
Fax
(340) 719-5301
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

Name
Dr. Ian Keith Cook, D.P.M.
Title
Member
Phone
(340) 713-8397

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

4100 Sion Farm Shopp Ctr
Ste 7
St Croix, VI 00820
Phone (340) 713-8397

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

4100 Sion Farm
Suite 7
St. Croix, VI 00820

Mailing address

4100 Sion Farm
St. Croix, VI 00820
Phone (340) 713-8397

Other providers in St. Croix, VI

All providers in St. Croix, VI · Ambulatory Surgical Clinic/Center in U.S. Virgin Islands

Sources for this page

Verify at the official NPI Registry.