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Organization

SOUTHLAND GERIATRIC & PALLIATIVE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OWEN OWENS (PRACTICE ADMINISTRATOR)
(602) 845-8000
Entity
Organization

Contact information

Practice address
4527 N 16TH ST, STE 104, PHOENIX, AZ 85016-5352
(480) 800-4800
(480) 699-2914
Mailing address
4527 N 16TH ST, STE 104, PHOENIX, AZ 85016-5352
(480) 800-4800
(480) 699-2914

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
006329
AZ

Other

Enumeration date
03/02/2017
Last updated
06/08/2020
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