Organization · Type 2 NPI

Four Corners Ketamine Center Inc

Clinic/Center · Durango, CO

NPI number 1508425273 Active

Practice location

72 Suttle St Unit M
Durango, CO 81303-6829

Call (970) 828-3030 Map

Fax (970) 247-0221

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1508425273

Four Corners Ketamine Center Inc's National Provider Identifier is 1508425273, issued on Jun 6, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Durango, CO. The record was last updated on Jun 6, 2019.