Arizona
Board of Licensing
Avi Meir Samuel Mallin PA
Physician Assistant
License number
4512
Date granted
09/16/2009
Class
Physician Assistant
Status
Active
Address
Banner Baywood Medical Center, 6644 E. Baywood Ave., Mesa AZ 85206
arizonalicensing.com
ID 22722303
LAST UPDATED 2026-04-24 13:51:49 UTC
LAST UPDATED 2026-04-24 13:51:49 UTC