Ketamine Clinic of Spokane LLC
NPI #1902603277 in Spokane, Washington
Provider Information
- NPI Number
- 1902603277
- Entity Type
- Organization
- Organization Name
- Ketamine Clinic of Spokane LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Feb 25, 2025
- Last Updated
- Feb 25, 2025
Practice Location
- Address
- 3707 S GRAND BLVD STE 101D
- City
- Spokane
- State
- Washington
- ZIP Code
- 99203-2762
- Phone
- (509) 934-7177
Authorized Official
- Name
- JOSHUA SPARTZ, CRNA
- Title
- OWNER
- Phone
- (509) 847-9835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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