institution
Revitalize Ketamine Clinic Llc
Multi-Specialty Clinic/Center in Flagstaff, Arizona
NPI 1346911195

Revitalize Ketamine Clinic Llc is a Multi-Specialty Clinic/Center based in Flagstaff, AZ and is specialized in Multi-Specialty. Revitalize Ketamine Clinic Llc practices in Flagstaff, AZ. The NPI Number for Revitalize Ketamine Clinic Llc is 1346911195 and holds a License No. (Arizona).

The current practice location address for Revitalize Ketamine Clinic Llc is 1800 S Milton Rd Ste 26, Flagstaff, AZ and can be reached out via phone at 928-213-6931.

Location: 1800 S Milton Rd Ste 26, Flagstaff, AZ, 86001-6340
institution
Provider Profile Details
NPI Number
1346911195
Provider Name
Revitalize Ketamine Clinic Llc
Credential
Provider Entity Type
Organization
Address
1800 S Milton Rd Ste 26, Flagstaff, AZ, 86001-6340
Phone Number
928-213-6931
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1800 S Milton Rd Ste 26
City
State
Zip
86001-6340
Phone Number
928-213-6931
Fax Number
person
Provider Business Mailing Address Details
Address
1800 S Milton Rd Ste 26
City
State
Zip
86001-6340
Phone Number
928-213-6931
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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