Scott Bayles Black, MD

NPI #1811257462 in La Pine, Oregon

Provider Information

NPI Number: 1811257462
Entity Type: Individual
Name: Scott Bayles Black, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 16, 2012
Last Updated: Jul 28, 2015

Practice Location

Address: 51600 HUNTINGTON RD
City: La Pine
State: Oregon
ZIP Code: 97739-8887
Phone: (541) 536-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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