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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KETAMINE AMERICA LLC

Active Organization

KETAMINE AMERICA LLC is a Vascular Surgery organization located in MESA, Arizona. NPI 1053985986 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · MESA, AZ

Registration Details

NPI Number
1053985986
Provider Type
Organization
NPI Issued
May 15, 2021 (5.2725930054763 yrs)
Last Updated
May 15, 2021

Practice Information

Address
4838 E BASELINE RD STE 110
MESA, AZ, 852064674
Browse AZ providers · Browse ZIP 85206
Phone
4804260767
Fax
4804366611
Primary Specialty
Vascular Surgery
208VP0000X
Additional Specialty
Addiction Psychiatry
Additional Specialty
Psychiatry & Neurology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.