MARK CHARLES DE LA LAMA

PHOENIX, AZ
NPI1801876214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  3073)
Enumeration Date2006-01-20
Last Update Date2007-07-08
Business Address
Mr. MARK CHARLES DE LA LAMA PA-C
4660 W THOMAS RD
PHOENIX, AZ 85031-3718
Phone number: 602-442-4500
Mailing Address
Mr. MARK CHARLES DE LA LAMA PA-C
6550 N 40TH DR
PHOENIX, AZ 85019-1206
Phone number: 623-322-5842
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