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John Black
NPI 1417014176 · on the registry since 2007
Practice
- Address
- 1601 Yosemite Blvd
Suite A
Modesto, CA 95354 - Phone
- (209) 341-1824
- Fax
- (209) 523-1296
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Specialist
174400000X
- 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 California