person
Mr. Mark Charles De La Lama, PA-C
Medical Physician Assistant in Phoenix, Arizona
NPI 1801876214

Mark Charles De La Lama is a Medical Physician Assistant based in Phoenix, AZ and is specialized in Medical. Mark Charles De La Lama practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Mark Charles De La Lama is 1801876214 and holds a License No. 3073 (Arizona).

The current practice location address for Mark Charles De La Lama is 4660 W Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-442-4500 and via fax at 602-442-4505.

Location: 4660 W Thomas Rd, Phoenix, AZ, 85019-1206
person
Provider Profile Details
NPI Number
1801876214
Provider Name
Mark Charles De La Lama
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4660 W Thomas Rd, Phoenix, AZ, 85019-1206
Phone Number
602-442-4500
Fax Number
602-442-4505
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4660 W Thomas Rd
City
State
Zip
85031-3718
Phone Number
602-442-4500
Fax Number
602-442-4505
person
Provider Business Mailing Address Details
Address
4660 W Thomas Rd
City
State
Zip
85031-3718
Phone Number
602-442-4500
Fax Number
602-442-4505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3073 (Arizona)
Definition
Definition to come...
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