DAELUN JACOB MCRAE PA-C NPI 1215609144

NPI Information

Daelun Jacob Mcrae, PA-C is a medical physician assistant in Mesa, AZ. Daelun Jacob Mcrae, PA-C NPI is 1215609144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5564 S KEENE
MESA, AZ
ZIP 85212-130
Phone: (928) 651-2960

The NPI 1215609144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2021 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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