THOMAS BLACK

EDGEWOOD, NM
NPI1619346376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  02922)
Enumeration Date2015-09-23
Last Update Date2021-07-26
Business Address
THOMAS BLACK NP
104 QUAIL TRAIL UNIT B
EDGEWOOD, NM 87015
Phone number: 505-208-0208
Mailing Address
THOMAS BLACK NP
104 QUAIL TRAIL UNIT B
EDGEWOOD, NM 87015
Phone number: 505-208-0204
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