person
Mr. David L Black, PAC
Surgical Physician Assistant in Harrisburg, Pennsylvania
NPI 1427042092

David L Black is a Surgical Physician Assistant based in Lebanon, PA and is specialized in Surgical. David L Black practices in Harrisburg, PA and has the professional credentials of PAC. The NPI Number for David L Black is 1427042092 and holds a License No. MA000813L (Pennsylvania).

The current practice location address for David L Black is 4310 Londonderry Rd, Harrisburg, PA and can be reached out via phone at 717-920-7664 and via fax at 717-920-4361. You can also correspond with David L Black through the mailing address at 1700 S LINCOLN AVE, LEBANON, PA - 17042-7529 (mailing address contact number: 717-272-6621).

Location: 4310 Londonderry Rd, Harrisburg, PA, 17042-7529
person
Provider Profile Details
NPI Number
1427042092
Provider Name
David L Black
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
4310 Londonderry Rd, Harrisburg, PA, 17042-7529
Phone Number
717-920-7664
Fax Number
717-920-4361
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0993475 01 PA KEYSTONE
50041402 01 PA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
4310 Londonderry Rd
City
State
Zip
17109-5300
Phone Number
717-920-7664
Fax Number
717-920-4361
person
Provider Business Mailing Address Details
Address
1700 S Lincoln Ave
City
State
Zip
17042-7529
Phone Number
717-272-6621
Fax Number
717-228-6156
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA000813L (Pennsylvania)
Definition
Definition to come...
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