Individual provider · Type 1 NPI

Mark Charles De la Lama, PA-C

Medical Physician Assistant · Phoenix, AZ

NPI number 1801876214 Active

Practice location

4660 W Thomas Rd
Phoenix, AZ 85031-3718

Call (602) 442-4500 Map

Fax (602) 442-4505

Mailing address

6550 N 40th Dr
Phoenix, AZ 85019-1206

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3073 (AZ)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1801876214

Mark Charles De la Lama, PA-C's National Provider Identifier is 1801876214, issued on Jan 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.