Acacia S Healthcare Pllc | |
23864 N 166th Ln Surprise AZ 85387-1460 | |
(609) 364-4028 | |
Not Available |
Full Name | Acacia S Healthcare Pllc |
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Speciality | Family Medicine |
Location | 23864 N 166th Ln, Surprise, Arizona |
Authorized Official Name and Position | Janet D Tate-brown (EMPLOYEE) |
Authorized Official Contact | 6093644028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Acacia S Healthcare Pllc 23864 N 166th Ln Surprise AZ 85387-1460 Ph: (609) 364-4028 | Acacia S Healthcare Pllc 23864 N 166th Ln Surprise AZ 85387-1460 Ph: (609) 364-4028 |
NPI Number | 1720725625 |
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Provider Enumeration Date | 05/12/2022 |
Last Update Date | 06/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720725625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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