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Contact Information

ACACIA INTERNAL MEDICINE
20040 N 19TH AVENUE
SUITE A
PHOENIX, AZ85027
 Phone: 623-869-5000
 Fax: 623-869-0927
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ACACIA INTERNAL MEDICINE · (Female)

NPI # 1013937895
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2006
Last updated 02/02/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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