Harold Micagah Black is a Certified Registered Nurse Anesthetist based in Baltimore, VA. Harold Micagah Black practices in Fairfax, VA and has the professional credentials of CRNA. The NPI Number for Harold Micagah Black is 1831198084 and holds a License No. 0024070513 (Virginia).
The current practice location address for Harold Micagah Black is 3600 Joseph Siewick Dr, Fairfax, VA and can be reached out via phone at 703-391-3129 and via fax at 703-295-9369. You can also correspond with Harold Micagah Black through the mailing address at PO BOX 37090, BALTIMORE, MD - 21297-3090 (mailing address contact number: 703-295-9360).
Identifier | Type | State | Issuer |
---|---|---|---|
139180 | 01 | VA | ANTHEM |
1831198084 | 05 | VA | |
298077 | 01 | VA | AMERIGROUP |
K142-0002 | 01 | DC | CAREFIRST |
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