Individual
MR. IAIN ALAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13943 N 91ST AVE, BUILDING I, PEORIA, AZ 85381-3629
(623) 815-2690
(623) 815-2689
Mailing address
13943 N. 91ST AVE, BUILDING I, PEORIA, AZ 85381-3692
(623) 815-2690
(623) 815-2689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4339
AZ
Other
Enumeration date
11/17/2008
Last updated
02/19/2015
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