-- JOSEPH BLACK -- PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1699784769- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 3311 E MURDOCK ST, WICHITA, KS, 672083054
- Phone
- (316) 689-9325
- Fax
- (316) 689-9374
Specialties & Taxonomies
Physician Assistant
Primary License: KS #00762