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Individual

MARK CAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5140 E THOMAS RD, PHOENIX, AZ 85018-7915
(602) 207-8400
(602) 535-3166
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8078
AZ
363AM0700X
Medical Physician Assistant
Primary
8078
AZ
390200000X
Student in an Organized Health Care Education/Training Program
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094625
AZ
01
8078
PHYSICIAN ASSISTANT BOARD
AZ
Enumeration date
04/10/2020
Last updated
07/03/2026
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