Farrah L Black is a Medical in Phoenix, Arizona. Farrah L Black practices all healthcare services and medical treatments related to Medical. The NPI Number for Farrah L Black is 1063490316. The last update date is 2012-10-02.
Farrah L Black's current location address is 1300 N 12th St, Phoenix, Arizona. You can contact this provider via phone number 6028392606 and fax number 6028394123. The mailing address for Farrah L Black is 1300 N 12th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Farrah L Black |
|---|---|
| Address | 1300 N 12th St, Phoenix, Arizona |
| Phone Number | 6028392606 |
| Fax Number | 6028394123 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063490316 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2012-10-02 |
Provider Mailing Address Detail
| Address | 1300 N 12th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850062848 |
| Phone Number | 6028392606 |
| Fax Number | 6028394123 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2874 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 803305 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Farrah L Black by the Centers for Medicare & Medicaid Services (CMS)?
The Farrah L Black has been assigned the NPI (National Provider Identifier) 1063490316. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Farrah L Black's facilities are situated?
The facilities of Farrah L Black are physically located at the following address: 1300 N 12Th St, Phoenix, AZ, 850062848.
What is Farrah L Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Farrah L Black is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Farrah L Black receive its 1063490316 assignment from the Centers for Medicare & Medicaid Services?
The Farrah L Black was assigned its 1063490316 by the Centers for Medicare & Medicaid Services on 2006-01-06.
When was the information regarding Farrah L Black, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Farrah L Black, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-02.