Search › Oklahoma › 101YM0800X
Phillip Black, M.S
NPI 1326149873 · on the registry since 2006 · sole proprietor
Practice
- Address
- 500 S Sweet Gum Ave
Broken Arrow, OK 74012 - Phone
- (918) 250-5963
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma