Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WARREN BLACK
ActiveFoot & Ankle Surgery · JOINT BASE LEWIS-MCCORD, WA
Registration Details
- NPI Number
- 1861878076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2015 (10.693847538678 yrs)
- Last Updated
- Aug 11, 2015
- License
-
302016 (TX)
Practice Information
- Address
-
9887 ADAMS STJOINT BASE LEWIS-MCCORD, WA, 98433Browse WA providers · Browse ZIP 98433
- Phone
- 9157912882
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
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.