Evergreen Hospice and Palliative Care

NPI #1841696911 in Lakeside, Arizona

Provider Information

NPI Number
1841696911
Entity Type
Organization
Organization Name
Evergreen Hospice and Palliative Care
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Nov 17, 2014
Last Updated
Nov 17, 2014

Practice Location

Address
454 W WHITE MOUNTAIN BLVD
Address 2
SUITE 7
State
Arizona
ZIP Code
85929-6663
Phone
(602) 549-1905

Authorized Official

Name
DR. MARC ALAN BAUDER, MD ABFM/GERIATRICS
Title
CHIEF MEDICAL DIRECTOR
Phone
(602) 218-0811

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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