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PETER K BLACK MD

Individual Provider (NPI-1) Active

Preventive Medicine, Undersea and Hyperbaric Medicine

Provider Information

NPI Number
1265460406
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
8716 E MILL PLAIN BLVD, VANCOUVER, WA, 986642531
Phone
(360) 514-4325
Fax
(360) 514-4336

Specialties & Taxonomies

Internal Medicine License: WA #MD61439872
Preventive Medicine, Undersea and Hyperbaric Medicine License: OR #MD24481
Preventive Medicine, Undersea and Hyperbaric Medicine Primary License: WA #MD61439872

All Addresses

LOCATION

8716 E MILL PLAIN BLVD

VANCOUVER, WA, 986642531

(360) 514-4325

MAILING

8716 E MILL PLAIN BLVD

VANCOUVER, WA, 986642531

(360) 514-4325