Individual
MARK A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7667
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7667
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
253622
NY
207P00000X
Emergency Medicine Physician
Primary
ME-124249
FL
Other
Enumeration date
04/14/2008
Last updated
06/27/2024
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