Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARRYLL W. BLACK, PA-C
ActiveMR. DARRYLL W. BLACK, PA-C is a Physician Assistant healthcare provider located in WRIGHT-PATTERSON AFB, Ohio. NPI 1679735138 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WRIGHT-PATTERSON AFB, OH
Registration Details
- NPI Number
- 1679735138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2008 (18.123162024508 yrs)
- Last Updated
- Apr 11, 2018
- Licenses
-
10002023A (IN)MA053346 (PA)
Practice Information
- Address
-
88 MDG4881 SUGAR MAPLE DRWRIGHT-PATTERSON AFB, OH, 454335529Browse OH providers · Browse ZIP 45433
- Phone
- 9372576569
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.