ARIZONA KETAMINE SPECIALISTS LLC NPI 1255937439

NPI Information

NPI: 1255937439
Provider Name: ARIZONA KETAMINE SPECIALISTS LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
18205 N 51ST AVE STE 105
GLENDALE, AZ
ZIP 85308
Phone: (623) 688-8531
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ARIZONA KETAMINE SPECIALISTS LLC is an infusion therapy clinic center in Glendale, AZ. ARIZONA KETAMINE SPECIALISTS LLC NPI is 1255937439. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18205 N 51ST AVE STE 105
GLENDALE, AZ
ZIP 85308-491
Phone: (623) 688-8531
Fax: (602) 277-8146

The provider's authorized official is David Vanlirop .
The authorized official title is Manager and has the following contact phone number (480) 414-9986.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology				No
2	261QI0500X	Clinic/Center	Infusion Therapy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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