Arizona
Board of Licensing
Mark Charles De La Lama PA
Physician Assistant
License number
3073
Date granted
10/07/2004
Class
Physician Assistant
Status
Active
Address
Plaza Medica Mexicana, 4660 W. Thomas Rd Ste A, Phoenix AZ 85031
arizonalicensing.com
ID 22758052
LAST UPDATED 2026-04-02 18:09:50 UTC
LAST UPDATED 2026-04-02 18:09:50 UTC