Individual
JOSHUA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Mailing address
33 E 26TH ST, TULSA, OK 74114-2413
(804) 855-7987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26838
OK
390200000X
Student in an Organized Health Care Education/Training Program
0101241209
VA
Other
Enumeration date
05/17/2007
Last updated
01/30/2020
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