Charles Dewayne Black, D.O.

NPI #1891757860 in Ardmore, Oklahoma

Provider Information

NPI Number
1891757860
Entity Type
Individual
Name
Charles Dewayne Black, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medicine - Emergency Medical Services
Credential
D.O.
Enumeration Date
Apr 5, 2006
Last Updated
Nov 9, 2007

Practice Location

Address
1011 14TH AVE NW
Address 2
ER DEPT.
ZIP Code
73401-1828
Phone
(580) 220-6415

Specialties & Taxonomy Codes

Specialty
Emergency Medicine - Emergency Medical ServicesEmergency Medical Services

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