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Organization

TIMOTHY E BLACK MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY EATON BLACK MD (PHYSICIAN)
(480) 425-2160
Entity
Organization

Contact information

Practice address
2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282-7612
(480) 425-2160
(480) 839-4727
Mailing address
2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282-7612
(480) 425-2160
(480) 839-4727

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17223
AZ

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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