Organization
KETAMINE WELLNESS CENTERS RENO LLC
Active
Parent organization
KETAMINE WELLNESS CENTERS ARIZONA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETAMINE WELLNESS CENTERS ARIZONA LLC
Authorized official
MARK MURPHY MD (MEDICAL DIRECTOR)
(480) 788-8539
Entity
Organization
Contact information
Practice address
1895 PLUMAS ST STE 6, RENO, NV 89509-3384
(855) 538-9355
Mailing address
1255 W BASELINE RD STE A-182, MESA, AZ 85202-5820
(480) 788-8539
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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