Jeffrey Lane Black
Jeffrey Lane Black is an Emergency Medical Services (Emergency Medicine) Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.
- Licensed in
- OK
- In the registry since
- 2006
Practice location Address checks out
1717 S Utica Ave Ste ATulsa, OK 74104-5346
Phone: (918) 748-7557
Fax: (918) 748-7514
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Specialties & licences
| Emergency Medical Services (Emergency Medicine) Physician (primary) | Taxonomy 207PE0004X · Licence 16468 (OK) |
|---|
Record details
| NPI number | 1700957990 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 11, 2006 |
| Last updated in NPPES | April 13, 2010 |
| Mailing address | 1515 N Harvard Ave, Ste E, Tulsa, OK 74115-4957 |
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