Jeffrey B Black, MD
NPI #1538137112 in Stanwood, Washington
Provider Information
- NPI Number
- 1538137112
- Entity Type
- Individual
- Name
- Jeffrey B Black, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Dec 9, 2016
Practice Location
- Address
- 7205 265TH ST NW
- City
- Stanwood
- State
- Washington
- ZIP Code
- 98292-6221
- Phone
- (360) 629-1505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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