Individual
MR. PABLO C ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
16113 W CORONADO RD, GOODYEAR, AZ 85395-7130
(623) 695-0449
Mailing address
161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
(480) 494-2465
(480) 534-4087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN110209
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7817
AZ
Other
Enumeration date
03/16/2012
Last updated
02/02/2023
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