Individual
DR. DAVID JOHN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2211 E MILL PLAIN BLVD, VANCOUVER, WA 98661-4329
(360) 735-5225
(360) 619-4208
Mailing address
2211 E MILL PLAIN BLVD, VANCOUVER, WA 98661-4329
(866) 420-2244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00035879
WA
208000000X
Pediatrics Physician
MD20968
OR
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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