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

Deyatres Dewalt, PA

Individual provider Physician Assistant · NPI 1073225728

Deyatres Dewalt, PA is a Physician Assistant in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone: (480) 256-7108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10181 (AZ)

Record details

NPI number1073225728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 14, 2022
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

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