Organization · NPI-2

Acadia Health Clinic, LLC

Family Medicine, Adult Medicine · Peoria, AZ

NPI number1679645691
StatusActive
Last updated in NPPESOct 26, 2007

Details

NPI
1679645691
Entity type
Organization (NPI-2)
Legal business name
Acadia Health Clinic, LLC
Organization subpart
No
Enumeration date
Nov 14, 2006
Last updated
Oct 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine––Yes
111N00000X Chiropractor7394AZ
111N00000X Chiropractor5702AZ
171100000X Acupuncturist0520AZ
204C00000X Neuromusculoskeletal Medicine, Sports Medicine2420AZ

Practice location

13260 N 94th Dr
Suite 205
Peoria, AZ 85381-4240

Phone 623-583-6570 · Fax 623-583-6571

Mailing address

13260 N 94th Dr
Suite 205
Peoria, AZ 85381-4240

Phone 623-583-6570 · Fax 623-583-6571

Authorized official

William Haas
Administrator
6235836570

Is something wrong?

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