Organization · Type 2 NPI

Ketamine America LLC

Pain Medicine Physician · Mesa, AZ

NPI number 1053985986 Active

Practice location

4838 E Baseline Rd Ste 110
Mesa, AZ 85206-4674

Fax (480) 436-6611

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician	207LP2900X	None listed
Addiction Medicine (Internal Medicine) Physician	207RA0401X	None listed
Addiction Medicine (Psychiatry & Neurology) Physician	2084A0401X	None listed
Addiction Psychiatry Physician	2084P0802X	None listed
Pain Medicine Physician Primary	208VP0000X	None listed
Interventional Pain Medicine Physician	208VP0014X	None listed

Pain Medicine Physician: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contri…

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About NPI 1053985986

Ketamine America LLC's National Provider Identifier is 1053985986, issued on May 15, 2021. The primary taxonomy on file is Pain Medicine Physician (208VP0000X), and the practice location is in Mesa, AZ. The record was last updated on May 15, 2021.