Individual
JOHN-DAVID BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
845 SWIFT BLVD, RICHLAND, WA 99352
(509) 946-1654
(509) 943-5652
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60544517
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102931509
—
PA
05
—
1619105004
—
WA
Enumeration date
06/24/2009
Last updated
04/16/2021
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