-- CHARLES DEWAYNE BLACK -- D.O.
Individual Provider (NPI-1)
Active
Emergency Medicine, Emergency Medical Services
Provider Information
- NPI Number
1891757860- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 1011 14TH AVE NW ER DEPT., ARDMORE, OK, 734011828
- Phone
- (580) 220-6415
- Fax
- (405) 749-4561
Specialties & Taxonomies
Emergency Medicine, Emergency Medical Services
Primary License: OK #3023