Whalio Doctors

NPI 1053985986

Ketamine America LLC

Organisation Pain Medicine Physician Mesa, AZ

Practice location

Address
4838 E Baseline Rd STE 110, Mesa, AZ 85206-4674
Phone
(480) 426-0767
Fax
(480) 436-6611

Authorised official

Name
David a Warkentin
Title
Ceo/Owner
Phone
(310) 770-6368

Registered specialties (6)

Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X
Addiction Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RA0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Allopathic & Osteopathic Physicians Taxonomy 2084A0401X
Addiction Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0802X
Interventional Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Registry record

NPI
1053985986
Entity type
Organization
NPI issued
15 May 2021
Record last updated
15 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.