Organization
ACACIA FAMILY MEDICINE, PC
Active
Organization
ACACIA FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI R MARTINEZ-AKSAMIT MD (OWNER)
(520) 323-3617
Entity
Organization
Contact information
Practice address
3801 N CAMPBELL AVE, SUITE B, TUCSON, AZ 85719-1448
(520) 732-3361
(520) 323-3618
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25298
AZ
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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