Individual
ISAAC ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 E BROADWAY RD, TEMPE, AZ 85282-1612
(480) 557-0970
Mailing address
4411 N 99TH AVE UNIT 3029, PHOENIX, AZ 85037-1380
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I026989
AZ
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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