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
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 TherapyInfusion Therapy

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