# KETAMINE WELLNESS CENTERS RENO LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KETAMINE WELLNESS CENTERS ARIZONA LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184385809
- **Legal business name:** KETAMINE WELLNESS CENTERS ARIZONA LLC
- **Authorized official:** MARK MURPHY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 788-8539

## Contact information

- **Practice address:** 1895 PLUMAS ST STE 6, RENO, NV 89509-3384
- **Practice address phone:** (855) 538-9355
- **Mailing address:** 1255 W BASELINE RD STE A-182, MESA, AZ 85202-5820
- **Mailing address phone:** (480) 788-8539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2022
- **Last updated:** 01/05/2022