Individual
DR. JEFFREY L. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
418 30TH ST, OAKLAND, CA 94609-3302
(925) 274-4950
(925) 274-4975
Mailing address
418 30TH ST, OAKLAND, CA 94609-3302
(925) 274-4950
(925) 274-4975
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G14907
CA
Other
Enumeration date
08/22/2005
Last updated
07/20/2007
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