FARRAH L BLACK

PHOENIX, AZ
NPI1063490316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  2874)
Enumeration Date2006-01-06
Last Update Date2012-10-02
Business Address
Miss FARRAH L BLACK PA
1300 N 12TH ST STE 500
PHOENIX, AZ 85006-2848
Phone number: 602-839-2606
Mailing Address
Miss FARRAH L BLACK PA
1300 N 12TH ST STE 500
PHOENIX, AZ 85006-2848
Phone number: 602-839-2606