Organization · Type 2 NPI
Arizona Ketamine Specialists LLC
Infusion Therapy Clinic/Center · Glendale, AZ
NPI number
1255937439
Active
Practice location
18205 N 51st Ave Ste 105
Glendale, AZ 85308-1491
Fax (602) 277-8146
Mailing address
PO Box 39179
Phoenix, AZ 85069-9179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1255937439
Arizona Ketamine Specialists LLC's National Provider Identifier is 1255937439, issued on Dec 11, 2020. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Glendale, AZ. The record was last updated on Dec 11, 2020.