ACACIA FAMILY MEDICINE, PC
Ambulatory Health at Campbell Ave, Tucson, AZ

License number
Arizona 25298
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: SHANTI R MARTINEZ-AKSAMIT MD
Title: OWNER
Phone: (520) 323-3617
Address
Address
3801 N Campbell Ave SUITE B, Tucson, AZ 85719
National Provider ID: 1033275938
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACACIA FAMILY MEDICINE, PC

Tucson, AZ

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Ad-dissolved-file annual report
Registration:
Jun 30, 2004
Inactive since:
Dec 7, 2011
Phone:
(520) 323-3617 (Phone)
Addresses:
3801 N Capmbell Ave STE B, Tucson, AZ 85719 (Physical)
3801 N Campbell Ave, Tucson, AZ 85719
PO Box 43926, Tucson, AZ 85733
State ID:
-1141048-9
Expiration:
PERPETUAL
President, Family Practitioners:
Shanti Martinez Aksamit Md (President), 3801 N Campbell Ave STE B, Tucson, AZ 85719 (Physical),Shanti M. Aksamit (President, Family Practitioner)

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