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Charles Dewayne Black, DO
Emergency Medical Services (Emergency Medicine) Physician in Ardmore, Oklahoma
NPI 1891757860

Charles Dewayne Black is a Emergency Medical Services (Emergency Medicine) Physician based in Oklahoma City, OK and is specialized in Emergency Medical Services. Charles Dewayne Black practices in Ardmore, OK and has the professional credentials of DO. The NPI Number for Charles Dewayne Black is 1891757860 and holds a License No. 3023 (Oklahoma).

The current practice location address for Charles Dewayne Black is 1011 14Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-220-6415 and via fax at 405-749-4561.

Location: 1011 14Th Ave Nw, Ardmore, OK, 73134-1785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891757860
Provider Name
Charles Dewayne Black
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1011 14Th Ave Nw, Ardmore, OK, 73134-1785
Phone Number
580-220-6415
Fax Number
405-749-4561
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1011 14Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-1828
Phone Number
580-220-6415
Fax Number
405-749-4561
person
Provider Business Mailing Address Details
Address
1011 14Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-1828
Phone Number
580-220-6415
Fax Number
405-749-4561
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
3023 (Oklahoma)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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