Ketamine Colorado Springs | |
2860 S Circle Dr Colorado Springs CO 80906-4113 | |
(760) 780-8702 | |
Not Available |
Full Name | Ketamine Colorado Springs |
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Speciality | Clinic/center - Multi-specialty |
Location | 2860 S Circle Dr, Colorado Springs, Colorado |
Authorized Official Name and Position | Jana Gainok (CO-OWNER) |
Authorized Official Contact | 7607808702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ketamine Colorado Springs 2860 S Circle Dr Colorado Springs CO 80906-4113 Ph: (760) 780-8702 | Ketamine Colorado Springs 2860 S Circle Dr Colorado Springs CO 80906-4113 Ph: (760) 780-8702 |
NPI Number | 1831531532 |
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Provider Enumeration Date | 07/23/2013 |
Last Update Date | 01/27/2021 |
Identifier | Type | State | Issuer |
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1831531532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
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