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Shantala Mask, P.A
NPI 1336304427 · on the registry since 2008
Practice
- Address
- 4136 N 75th Ave
Ste. 101
Phoenix, AZ 85033 - Phone
- (623) 849-2220
- Fax
- (623) 849-2574
- Organisation at this address
- West Park Medical Corp
Diamond Family Care Llc
Spectrum Health Center, P.C.
Intensive Treatment Systems Llc
Real Solutions Treatment Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona