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Summit Ketamine, Pc
Infusion Therapy Clinic/Center in Parker, Colorado
NPI 1912466004

Summit Ketamine, Pc is a Infusion Therapy Clinic/Center based in Denver, CO and is specialized in Infusion Therapy. Summit Ketamine, Pc practices in Parker, CO. The NPI Number for Summit Ketamine, Pc is 1912466004 and holds a License No. (Colorado).

The current practice location address for Summit Ketamine, Pc is 19284 Cottonwood Dr Ste 200, Parker, CO and can be reached out via phone at 719-641-7614.

Location: 19284 Cottonwood Dr Ste 200, Parker, CO, 80210-4105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912466004
Provider Name
Summit Ketamine, Pc
Credential
Provider Entity Type
Organization
Address
19284 Cottonwood Dr Ste 200, Parker, CO, 80210-4105
Phone Number
719-641-7614
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1578616413 01 PERSONAL NPI
institution
Provider Business Practice Location Address Details
Address
19284 Cottonwood Dr Ste 200
City
Parker
State
Colorado
Zip
80138-3881
Phone Number
719-641-7614
Fax Number
person
Provider Business Mailing Address Details
Address
19284 Cottonwood Dr Ste 200
City
Parker
State
Colorado
Zip
80138-3881
Phone Number
719-641-7614
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
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Definition
Definition to come...
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