| Tucson Community Palliative Care | |
|
5055 E Broadway Blvd Ste D-205 Tucson AZ 85711-3625 | |
| (520) 230-4450 | |
| (520) 230-4451 |
| Full Name | Tucson Community Palliative Care |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 5055 E Broadway Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Richard E Bass (MANAGING PARTNER) |
| Authorized Official Contact | 6027174751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Community Palliative Care 5055 E Broadway Blvd Ste D-205 Tucson AZ 85711-3625 Ph: (520) 230-4450 | Tucson Community Palliative Care 5055 E Broadway Blvd Ste D-205 Tucson AZ 85711-3625 Ph: (520) 230-4450 |
| NPI Number | 1235489147 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235489147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | () | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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