Arizona
Board of Licensing
Tasha Shah Mack PA
Physician Assistant
License number
5521
Date granted
10/02/2013
Class
Physician Assistant
Status
Active
Address
Allen Family Medicine, 7233 E. Baseline Road Ste 126, Mesa AZ 85209
arizonalicensing.com
ID 22778431
LAST UPDATED 2026-04-05 19:38:06 UTC
LAST UPDATED 2026-04-05 19:38:06 UTC