Organization
MILITARY MATTERS KETAMINE INFUSIONS OF COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG TRAINER (EXEC. VP OF ADMINISTRATION)
(719) 675-0058
Entity
Organization
Contact information
Practice address
530 COMMUNICATION CIR, COLORADO SPRINGS, CO 80905-1744
(225) 776-2253
Mailing address
949 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6315
(719) 399-0390
(719) 399-0390
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
02/21/2020
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