Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Farrah L Black, PA

Individual provider Medical Physician Assistant · NPI 1063490316

Miss. Farrah L Black, PA is a Medical Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1300 N 12th St Ste 500
Phoenix, AZ 85006-2848
Phone: (602) 839-2606
Fax: (602) 839-4123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2874 (AZ)

Record details

NPI number1063490316
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 6, 2006
Last updated in NPPESOctober 2, 2012

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