Individual
DR. CHRISTOPHER D BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2490 OKA ST, KILAUEA, HI 96754-5332
(808) 828-1418
Mailing address
2490 OKA ST, KILAUEA, HI 96754-5332
(808) 828-1418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A 9866
CA
207Q00000X
Family Medicine Physician
Primary
DOS1460
HI
Other
Enumeration date
05/08/2007
Last updated
12/18/2014
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