De La Lama, Mark Charles

De La Lama, Mark Charles is an individual health care provider with primary practice located at 4660 W Thomas Rd , Phoenix AZ 85031-3718. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. De La Lama, Mark Charles can be contacted via phone (602) 442-4500.

Contact Information

Primary practice address
4660 W Thomas Rd Phoenix AZ 85031-3718
Fax: (602) 442-4505
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3073 Arizona

Profile Details

NPI number 1801876214
LBN Legal business name De La Lama, Mark Charles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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