OrganizationActive
Arizona Ketamine Specialists LLC
NPI 1255937439 · Infusion Therapy Clinic/Center · Glendale, AZ
Provider details
- NPI number
- 1255937439
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Vanlirop, Manager(480) 414-9986
Specialties & taxonomies
Ambulatory Health Care Facilities
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Practice location
18205 N 51st Ave Ste 105
Glendale, AZ 85308-1491
Phone: (623) 688-8531
Fax: (602) 277-8146
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 39179
Phoenix, AZ 85069-9179
Registry dates
- Enumerated
- 2020-12-11
- Last updated
- 2020-12-11
- Certified
- 2020-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.