Mark Charles De La Lama in Phoenix - Medical
Mark Charles De La Lama - NPI 1801876214
Mark Charles De La Lama is a Medical in Phoenix, Arizona. Mark Charles De La Lama practices all healthcare services and medical treatments related to Medical. The NPI Number for Mark Charles De La Lama is 1801876214. The last update date is 2007-07-08.
Mark Charles De La Lama's current location address is 6550 N 40th Dr, Phoenix, Arizona. You can contact this provider via phone number 6233225842. The mailing address for Mark Charles De La Lama is 6550 N 40th Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Charles De La Lama |
|---|---|
| Address | 6550 N 40th Dr, Phoenix, Arizona |
| Phone Number | 6233225842 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1801876214 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6550 N 40th Dr |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850191206 |
| Phone Number | 6233225842 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3073 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Charles De La Lama?
The Mark Charles De La Lama has been issued the NPI (National Provider Identifier) 1801876214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mark Charles De La Lama?
The Mark Charles De La Lama is situated at 6550 N 40Th Dr, in the city of Phoenix, state of AZ, with the zip code 850191206.
What is Mark Charles De La Lama's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Charles De La Lama's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801876214 to Mark Charles De La Lama?
The Centers for Medicare & Medicaid Services assigned the 1801876214 to Mark Charles De La Lama on 2006-01-20.
As of what date was the information pertaining to Mark Charles De La Lama, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Charles De La Lama, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.