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1043270978
TIMOTHY E BLACK
MESA, AZ
NPI
1043270978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AZ 17223)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
-- TIMOTHY E BLACK MD
1500 S DOBSON ROAD SUITE 203
MESA, AZ 85202
Phone number: 480-844-7100
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Mailing Address
-- TIMOTHY E BLACK MD
PO BOX 29338 DEPT 1014
PHOENIX, AZ 85038
Phone number: 480-844-7100
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