# TLC PAIN & PALLIATIVE MEDICINE PRACTICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316995376
- **Authorized official:** SCOTT M BOLHACK MD (PRESIDENT)
- **Authorized official phone:** (520) 615-6200

## Contact information

- **Practice address:** 1775 E SKYLINE DR, STE 101, TUCSON, AZ 85718-1162
- **Practice address phone:** (520) 615-6200
- **Practice address fax:** (520) 615-6255
- **Mailing address:** 1775 E SKYLINE DR, STE 101, TUCSON, AZ 85718-1162
- **Mailing address phone:** (520) 615-6200
- **Mailing address fax:** (520) 615-6255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | PENDING | AZ | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 08/22/2020