person
Mr. Andrew P Black, PA-C
Medical Physician Assistant in Dayton, Ohio
NPI 1790011724

Andrew P Black is a Medical Physician Assistant based in Dayton, OH and is specialized in Medical. Andrew P Black practices in Dayton, OH and has the professional credentials of PA-C. The NPI Number for Andrew P Black is 1790011724 and holds a License No. 50-002937 (Ohio).

The current practice location address for Andrew P Black is 6438 Wilmington Pike Ste 110, Dayton, OH and can be reached out via phone at 937-848-4121 and via fax at 937-848-5965. You can also correspond with Andrew P Black through the mailing address at 6438 WILMINGTON PIKE STE 110, DAYTON, OH - 45459-7021 (mailing address contact number: 937-848-4121).

Location: 6438 Wilmington Pike Ste 110, Dayton, OH, 45459-7021
person
Provider Profile Details
NPI Number
1790011724
Provider Name
Andrew P Black
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6438 Wilmington Pike Ste 110, Dayton, OH, 45459-7021
Phone Number
937-848-4121
Fax Number
937-848-5965
Provider Enumeration Date
10/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000636013 01 OH BCBS-OH
institution
Provider Business Practice Location Address Details
Address
6438 Wilmington Pike Ste 110
City
State
Zip
45459-7021
Phone Number
937-848-4121
Fax Number
937-848-5965
person
Provider Business Mailing Address Details
Address
6438 Wilmington Pike Ste 110
City
State
Zip
45459-7021
Phone Number
937-848-4121
Fax Number
937-848-5965
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50-002937 (Ohio)
Definition
Definition to come...
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