Individual
DR. JOHN MICHAEL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-9431
(402) 294-9138
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-9431
(402) 294-9138
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34164
NE
Other
Enumeration date
04/20/2020
Last updated
04/06/2022
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