OrganizationActive
Intrepid of the Grand Canyon, Inc.
NPI 1366116014 · Hospice and Palliative Medicine (Family Medicine) Physician · Tucson, AZ
Provider details
- NPI number
- 1366116014
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Parker, Chief Compliance Officer(214) 445-3750
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1820 E River Rd Ste 110
Tucson, AZ 85718-6595
Phone: (520) 873-9302
Approximate (ZIP-level) locationGet directions
Mailing address
3220 Keller Springs Rd Ste 108
Carrollton, TX 75006-5911
Other names (DBA / former)
- Doing business as
- Intrepid Palliative & Supportive Care
Registry dates
- Enumerated
- 2021-08-05
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.