Individual provider · Type 1 NPI
Daelun Jacob McRae, PA-C
Medical Physician Assistant · Mesa, AZ
NPI number
1215609144
Active
Practice location
5564 S Keene
Mesa, AZ 85212-2130
Mailing address
888 S Greenfield Rd
Gilbert, AZ 85296-4010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 8817 (AZ) |
Medical Physician Assistant: Definition to come...
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About NPI 1215609144
Daelun Jacob McRae, PA-C's National Provider Identifier is 1215609144, issued on Sep 29, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Dec 15, 2021.