Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES DEWAYNE BLACK, D.O.
ActiveEmergency Medical Services · ARDMORE, OK
Registration Details
- NPI Number
- 1891757860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2006 (20.083979431363 yrs)
- Last Updated
- Nov 9, 2007
- License
-
3023 (OK)
Practice Information
- Address
-
1011 14TH AVE NWER DEPT.ARDMORE, OK, 734011828Browse OK providers · Browse ZIP 73401
- Phone
- 5802206415
- Fax
- 4057494561
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Other Emergency Medical Services Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| LISA LORRAINE FRANK | M.D. | 1447212881 |
| KIMBER ANDERSON WARD III | M.D. | 1710940366 |
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.