Geoffrey Wayne Black, M.D.

NPI #1821000787 in Prather, California

Provider Information

NPI Number: 1821000787
Entity Type: Individual
Name: Geoffrey Wayne Black, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 29369 AUBERRY RD
Address 2: SUITE 102
City: Prather
State: California
ZIP Code: 93651-9784
Phone: (559) 855-5390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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