DR. Stefan Richard Black, DC

NPI #1114082401 in Bellevue, Washington

Provider Information

NPI Number: 1114082401
Entity Type: Individual
Name: DR. Stefan Richard Black, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 27, 2006
Last Updated: May 11, 2012

Practice Location

Address: 15100 SE 38TH ST
Address 2: 305B
City: Bellevue
State: Washington
ZIP Code: 98006
Phone: (425) 289-0092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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