Organization
ACACIA NATURAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE LYNN BROCK NMD, RD, LDN (OWNER)
(847) 903-0503
Entity
Organization
Contact information
Practice address
13951 N SCOTTSDALE RD STE 110, SCOTTSDALE, AZ 85254-3454
(480) 702-1537
Mailing address
13951 N SCOTTSDALE RD STE 110, SCOTTSDALE, AZ 85254-3454
(480) 702-1537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
133V00000X
Registered Dietitian
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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