Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MDA PLLC

Organization Anesthesiology Physician · NPI 1528383924

MDA PLLC is an Anesthesiology Physician in Lake Tapps, Washington. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2711 200th Ave E
Lake Tapps, WA 98391-9094
Phone: (801) 369-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1528383924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlon Michel — President · (801) 369-3535
NPI enumeratedMarch 29, 2010
Last updated in NPPESAugust 13, 2014
Mailing address2711 200th Ave E, Lake Tapps, WA 98391-9094

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