Individual
MINDY A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-8888
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 694-8888
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41876
AZ
Other
Enumeration date
01/07/2010
Last updated
06/25/2013
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