Individual
PATRICK LEE DELAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2200 S HOUGHTON RD, TUCSON, AZ 85748-7632
(205) 436-1005
Mailing address
2115 NE 12TH AVE, GAINESVILLE, FL 32641-4615
(520) 869-9718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10185
AZ
363A00000X
Physician Assistant
PA9113315
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/09/2020
Last updated
03/14/2025
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