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Individual

DR. JAMES ALLEN BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4343 E 31ST PL, YUMA, AZ 85365-6553
(928) 341-4544
(928) 341-4514
Mailing address
5911 N BRONCO ST, LAS VEGAS, NV 89130-1355
(240) 731-8115

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
35057615
OH
2083A0100X
Aerospace Medicine Physician
Primary
43185
AZ

Other

Enumeration date
03/01/2006
Last updated
10/19/2012
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