ARIZONA KETAMINE SPECIALISTS LLC

GLENDALE, AZ
NPI1255937439
Entity TypeOrganization
Authorized ContactDAVID VANLIROP
Manager
480-414-9986
Organization Subpart ?No
Primary Taxonomy261QI0500X Clinic/Center, Infusion Therapy
Additional Taxonomies207L00000X Anesthesiology
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
ARIZONA KETAMINE SPECIALISTS LLC
18205 N 51ST AVE STE 105
GLENDALE, AZ 85308-1491
Phone number: 623-688-8531
Mailing Address
ARIZONA KETAMINE SPECIALISTS LLC
PO BOX 39179
PHOENIX, AZ 85069-9179
Phone number: 602-395-0718