Organization
COLUMBIA PALLIATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J D BALL (PRESIDENT)
(480) 384-0030
Entity
Organization
Contact information
Practice address
15849 N 71ST ST, SUITE 100, SCOTTSDALE, AZ 85254-2179
(877) 811-3676
Mailing address
15849 N 71ST ST, SUITE 100, SCOTTSDALE, AZ 85254-2179
(877) 811-3676
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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