DANIEL C BLACK

SILOAM SPRINGS, AR
NPI1699270140
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AR  PT2018-017)
Enumeration Date2018-03-27
Last Update Date2018-03-28
Business Address
Mr. DANIEL C BLACK PA
603 N PROGRESS AVE
SILOAM SPRINGS, AR 72761-4352
Phone number: 479-524-4141
Mailing Address
Mr. DANIEL C BLACK PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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