KELLY JANE BLACK

PHOENIX, AZ
NPI1700096955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: AZ  24733)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Dr. KELLY JANE BLACK MD
4530 N 32ND ST STE 102
PHOENIX, AZ 85018-3357
Phone number: 602-493-1626
Mailing Address
Dr. KELLY JANE BLACK MD
3119 E PUGET AVE
PHOENIX, AZ 85028-5328
Phone number: 602-493-1626
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