Organization
KETAMINE INFUSION SPECIALISTS
Active
Other names
Ketamine Infusion and Wellness Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PENNELL MD (PRESIDENT)
(970) 778-3753
Entity
Organization
Contact information
Practice address
525 NORTH AVE, GRAND JUNCTION, CO 81501-7512
(970) 778-3753
(970) 778-3754
Mailing address
525 NORTH AVE, GRAND JUNCTION, CO 81501-7512
(970) 778-3753
(970) 778-3754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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