Provider Demographics
NPI:1194118380
Name:PALLIATIVE CONSULTING
Entity type:Organization
Organization Name:PALLIATIVE CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-358-8977
Mailing Address - Street 1:1927 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-2384
Mailing Address - Country:US
Mailing Address - Phone:801-358-8977
Mailing Address - Fax:801-225-7607
Practice Address - Street 1:1927 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-2384
Practice Address - Country:US
Practice Address - Phone:801-358-8977
Practice Address - Fax:801-225-7607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT281942-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty