JEFFREY B BLACK

STANWOOD, WA
NPI1538137112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  33020)
Enumeration Date2006-03-09
Last Update Date2016-12-09
Business Address
-- JEFFREY B BLACK MD
7205 265TH ST NW
STANWOOD, WA 98292-6221
Phone number: 360-629-1505
Mailing Address
-- JEFFREY B BLACK MD
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: