License holder summary

Shantala Mask PA is a Physician Assistant licensed to practice in Arizona. The address on file for Shantala Mask PA is Spectrum Health Center, 4136 N 75th Ave, Phoenix AZ 85033-3171. This licensed professional license is current. The license was granted 10/27/2003.

Arizona

Board of Licensing

Shantala Mask PA
Physician Assistant
License number
2911
Date granted
10/27/2003
Class
Physician Assistant
Status
Active
Address
Spectrum Health Center, 4136 N 75th Ave, Phoenix AZ 85033-3171
arizonalicensing.com
ID 22776123
LAST UPDATED 2026-05-17 21:59:33 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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