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Intrepid of the Grand Canyon, Inc. — NPI 1366116014, Tucson, AZ | NPI Central

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NPI 1366116014

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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

Hospice and Palliative Medicine (Family Medicine) PhysicianPrimary207QH0002X
Allopathic & Osteopathic Physicians

Practice location

1820 E River Rd Ste 110

Tucson, AZ 85718-6595

Phone: (520) 873-9302

Approximate (ZIP-level) locationGet directions

More AZ providers

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.