Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Arizona Ketamine Specialists LLC

Organization Anesthesiology Physician · NPI 1255937439

Arizona Ketamine Specialists LLC is an Anesthesiology Physician in Glendale, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18205 N 51st Ave Ste 105
Glendale, AZ 85308-1491
Phone: (623) 688-8531
Fax: (602) 277-8146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1255937439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Vanlirop — Manager · (480) 414-9986
NPI enumeratedDecember 11, 2020
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020
Mailing addressPo Box 39179, Phoenix, AZ 85069-9179

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