MEDICARE: ACUMEN MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1629935457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUMEN MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	3110 N CENTRAL AVE STE D160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2652
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 N CENTRAL AVE STE D160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2652
Country	:	US
Telephone Number	:	480-915-2288
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARLO ANTONE WATKINS
Credential	:
Telephone Number	:	480-915-2288

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ACUMEN MEDICAL GROUP LLC ” Practice Location

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