John Black VIII
John Black VIII is a Specialist in Modesto, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1601 Yosemite Blvd Ste AModesto, CA 95354-2800
Phone: (209) 341-1824
Fax: (209) 523-1296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1417014176 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 2, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 5336 Avenue D, Modesto, CA 95358-9445 |
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