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Prestige Ketamine Pc
Infusion Therapy Clinic/Center in Rigby, Idaho
NPI 1588353999

Prestige Ketamine Pc is a Infusion Therapy Clinic/Center based in Rigby, ID and is specialized in Infusion Therapy. Prestige Ketamine Pc practices in Rigby, ID. The NPI Number for Prestige Ketamine Pc is 1588353999 and holds a License No. (Idaho).

The current practice location address for Prestige Ketamine Pc is 3749 E 343 N, Rigby, ID and can be reached out via phone at 208-705-9800.

Location: 3749 E 343 N, Rigby, ID, 83442-5326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588353999
Provider Name
Prestige Ketamine Pc
Credential
Provider Entity Type
Organization
Address
3749 E 343 N, Rigby, ID, 83442-5326
Phone Number
208-705-9800
Fax Number
Provider Enumeration Date
05/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3749 E 343 N
City
Rigby
State
Idaho
Zip
83442-5326
Phone Number
208-705-9800
Fax Number
person
Provider Business Mailing Address Details
Address
3749 E 343 N
City
Rigby
State
Idaho
Zip
83442-5326
Phone Number
208-705-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
()
Definition
Definition to come...
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