JOSEPH BLACK

WICHITA, KS
NPI1699784769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  00762)
Enumeration Date2006-08-06
Last Update Date2007-07-16
Business Address
-- JOSEPH BLACK PA
3311 E MURDOCK ST
WICHITA, KS 67208-3054
Phone number: 316-689-9325
Mailing Address
-- JOSEPH BLACK PA
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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