Organization
HOSPICE MD PLLC
Active
Other names
ADVANCED MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
A COLLINS VILLAMOR MD (OWNER/PROVIDER)
(623) 237-3440
Entity
Organization
Contact information
Practice address
2635 N DYSART RD, AVONDALE, AZ 85392-2001
(623) 237-3440
(480) 685-8379
Mailing address
2416 W ESPARTERO WAY, PHOENIX, AZ 85086-5525
(623) 237-3440
(480) 685-8379
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
47017
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47017
AZ LICENSE
AZ
Enumeration date
07/01/2015
Last updated
01/23/2025
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