Summit Ketamine, PC

NPI #1912466004 in Parker, Colorado

Provider Information

NPI Number
1912466004
Entity Type
Organization
Organization Name
Summit Ketamine, PC
Primary Specialty
Clinic/Center - Infusion Therapy
Enumeration Date
Mar 18, 2019
Last Updated
Mar 18, 2019

Practice Location

Address
19284 COTTONWOOD DR STE 200
City
Parker
ZIP Code
80138-3881
Phone
(719) 641-7614

Authorized Official

Name
DR. SARAH LYNN COAKLEY, DO
Title
PRESIDENT
Phone
(719) 641-7614

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Infusion TherapyInfusion Therapy

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