Organization
KETAMINE CLINIC OF SPOKANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SPARTZ CRNA (OWNER)
(509) 847-9835
Entity
Organization
Contact information
Practice address
3707 S GRAND BLVD STE 101D, SPOKANE, WA 99203-2762
(509) 934-7177
Mailing address
PO BOX 1385, IDAHO FALLS, ID 83403-1385
(800) 338-5378
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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