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1659334951
JOHN P BLACK
MOUNTAIN HOME, AR
NPI
1659334951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AR C4689)
Enumeration Date
2006-04-08
Last Update Date
2008-06-16
Business Address
-- JOHN P BLACK MD
624 HOSPITAL DR
MOUNTAIN HOME, AR 72653-2955
Phone number: 870-424-1000
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Mailing Address
-- JOHN P BLACK MD
PO BOX 2443
MOUNTAIN HOME, AR 72654-2443
Phone number: 870-424-7070
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