Stephanie Black, PA-C

NPI #1083124051 in Canton, Ohio

Provider Information

NPI Number: 1083124051
Entity Type: Individual
Name: Stephanie Black, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 4, 2017
Last Updated: Oct 4, 2017

Practice Location

Address: 1455 HARRISON AVE NW STE 105
City: Canton
State: Ohio
ZIP Code: 44708-2609
Phone: (330) 453-9993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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