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

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Infusion Therapy Clinic/Center Primary 261QI0500XNone 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.