DR. John Michael Black
NPI #1497375570 in Offutt Afb, Nebraska
Provider Information
- NPI Number
- 1497375570
- Entity Type
- Individual
- Name
- DR. John Michael Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- General Practice
- Enumeration Date
- Apr 20, 2020
- Last Updated
- Apr 6, 2022
Practice Location
- Address
- 2501 CAPEHART RD
- City
- Offutt Afb
- State
- Nebraska
- ZIP Code
- 68113-1043
- Phone
- (402) 232-9431
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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