Ketamine Infusions of Idaho
NPI #1730769142 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1730769142
- Entity Type
- Organization
- Organization Name
- Ketamine Infusions of Idaho
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- Apr 9, 2021
- Last Updated
- Apr 9, 2021
Practice Location
- Address
- 1582 ELK CREEK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8322
- Phone
- (208) 607-8401
Authorized Official
- Name
- CHRISTINA STUBBS, CRNA
- Title
- OWNER
- Phone
- (208) 607-8401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Peter W Castellanos, MD | |
| DR. Gregory R. Hodson, M.D. |
Organizations
| Provider Name | |
|---|---|
| Boise Ketamine Clinic | |
| Infused Health LLC | |
| Prestige Ketamine PC |
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