Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEOFFREY WAYNE BLACK, M.D.
ActiveGEOFFREY WAYNE BLACK, M.D. is a Family Medicine healthcare provider located in PRATHER, California. NPI 1821000787 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PRATHER, CA
Registration Details
- NPI Number
- 1821000787
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2006 (20.017442307475 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A72268 (CA)
Practice Information
- Address
-
29369 AUBERRY RDSUITE 102PRATHER, CA, 936519784Browse CA providers · Browse ZIP 93651
- Phone
- 5598555390
- Fax
- 5598555395
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PRATHER, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LARRY MILLER | D.O. | 1801967617 |
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.