Individual
ASHLEY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4440 S. WASHINGTON ST., GRAND FORKS, ND 58201
(701) 732-7600
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1017
ND
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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