Megan Louise Black, PA

NPI #1194290767 in Blanding, Utah

Provider Information

NPI Number: 1194290767
Entity Type: Individual
Name: Megan Louise Black, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 9, 2018
Last Updated: Oct 3, 2019

Practice Location

Address: 466 W 800 S
City: Blanding
State: Utah
ZIP Code: 84511-3901
Phone: (435) 459-9682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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