STEVEN EARL BLACK

Dr STEVEN EARL BLACK is a male medical professional, specializing in Podiatry. He graduated in 1977 from Illinois Medical College.

Contact

44444 16TH ST W
SUITE 103
LANCASTER
CA
935342840

Tel:

STEVEN EARL BLACK Information

Npi 1235228636
Pac Id 2466644737
Professional Enrollment Id I20101005000823
Last Name BLACK
First Name STEVEN
Middle Name EARL
Suffix
Gender M
Credential
Medical School Name ILLINOIS MEDICAL COLLEGE
Graduation Year 1977
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 44444 16TH ST W
Line 2 Street Address SUITE 103
Marker Of Address Line 2 Suppression
City LANCASTER
State CA
Zip Code 935342840
Phone Number
Hospital Affiliation Ccn 1 050204
Hospital Affiliation Lbn 1 PALMDALE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 050056
Hospital Affiliation Lbn 2 ANTELOPE VALLEY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know STEVEN EARL BLACK?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.