Organization · NPI-2

Acacia Natural Medicine PLLC

Naturopath · Scottsdale, AZ

NPI number1184213993
StatusActive
Last updated in NPPESJan 15, 2021

Details

NPI
1184213993
Entity type
Organization (NPI-2)
Legal business name
Acacia Natural Medicine PLLC
Organization subpart
No
Enumeration date
Jan 15, 2021
Certification date
Jan 15, 2021
Last updated
Jan 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175F00000X Naturopath––Yes
111N00000X Chiropractor––
133V00000X Dietitian, Registered––

Practice location

13951 N Scottsdale Rd Ste 110
Scottsdale, AZ 85254-3454

Phone 480-702-1537

Mailing address

13951 N Scottsdale Rd Ste 110
Scottsdale, AZ 85254-3454

Phone 480-702-1537

Authorized official

Bonnie Lynn Brock
Owner
8479030503

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