CHARLES DEWAYNE BLACK

ARDMORE, OK
NPI1891757860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine Emergency Medical Services
(Licence: OK  3023)
Enumeration Date2006-04-05
Last Update Date2007-11-09
Business Address
CHARLES DEWAYNE BLACK D.O.
1011 14TH AVE NW ER DEPT.
ARDMORE, OK 73401-1828
Phone number: 580-220-6415
Mailing Address
CHARLES DEWAYNE BLACK D.O.
4401 W MEMORIAL RD SUITE 121
OKLAHOMA CITY, OK 73134-1785
Phone number: 405-751-4664
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