Acacia Medical Group
NPI #1851400659 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1851400659
- Entity Type
- Organization
- Organization Name
- Acacia Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 2010 W HOUSTON ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8303
- Phone
- (918) 258-2641
Authorized Official
- Name
- KEITH WHITEHOUSE
- Title
- ADMINISTRATOR/SECRETARY
- Phone
- (918) 258-2641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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